Republic of the Department of Health JOSE R. REYES MEMORIAL MEDICAL CENTER

LIST OF PATIENTS MEDICAL ASSISTANCE TO INDIGENT PATIENTS FOR THE PERIOD AUGUST 1 TO 31, 2019

AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

8-Mar-19 19-01 CATALAN, ROSELA L. 042 ST. JOHN SAN PAULO SUBDV. BRGY NAGKAISANG 3,120.00 NAYON NOVALICHES, - QC - 3,120.00 25-Mar-19 19-02 TAMBONG, CARLITO S. 1529 DAGUPAN ST. BRGY 51 TONDO 3,120.00 - - 3,120.00 26-Mar-19 19-03 VIRAY, SHAYNE LORAINE C. 47 BAL\KAWAN ST ST. BRGY VETERANS VILL. 3,120.00QUEZON CITY - - 3,120.00 26-Mar-19 19-04 CARAIG, MOISES B. BALAYAN ST. BRGY LANATAN BALAYAN BATANGAS 3,120.00 - - 3,120.00 27-Mar-19 19-05 PIANG, SHIRELYN T. 167 RUBY ST. BRGY 122 TONDO MANILA 3,120.00 - - 3,120.00 29-Mar-19 19-06 Estrada, Manuel Jr E. 115 R. SANTIAGO ST. 9TH AVE ST. BRGY NONE 3,120.00CALOOCAN CITY - - 3,120.00 29-Mar-19 19-07 BRILLANTES, CHARMAINE N. 54 BARTOLOME ST. BRGY VIENTE REALES VALENZUELA 3,120.00 CITY - - 3,120.00 20-Mar-19 19-08 SABDAO, ARLENE M. BLK. 11 LOR 37 CELINA HOMES ST. BRGY 168 DEPARO 910.00 CITY - - 910.00 1-Apr-19 19-09 CORTEZ, ANDRES M. 1300 ACAPITA ST ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 985.00 - 985.00 1-Apr-19 19-10 IBAY, GLORIA V. BLK. 18 LOT 15 BEVERLY HOMES ST. BRGY PRENZA - 3 MARILAO BULACAN 1,745.00 - 1,745.00 1-Apr-19 19-11 ESTARES, ROLANDO F. 183 INT.GEN LUNA ST. BRGY 11 SANGANDAAN CALOOCAN - CITY 1,560.00 - 1,560.00 1-Apr-19 19-12 NEPOMUCENO, ANAQUEL C. 1238 B4 ST. ANTHONY ST. BRGY UGONG STA. MONICA - VILLAGE VALENZUELA 340.00 CITY - 340.00 1-Apr-19 19-13 ROA, LYDIA 79 IBONG PILAK ST. BRGY STA. MONICA NOVALICHES - QUEZON CITY 360.00 - 360.00 1-Apr-19 19-14 PEÑARANDA, AILEEN A. 29 EDEN ST. BRGY SAN AGUSTIN NOVALICHES QUEZON - CITY 1,515.00 - 1,515.00 1-Apr-19 19-15 SARMIENTO Jr., LUIS S. 2880 BARRETO, ROAD 2 ST. BRGY 840 MANILA - 925.00 - 925.00 1-Apr-19 19-16 GABRAL, JANET 3646 INT. 74 BATAAN ST ST. BRGY 615 STA. CRUZ MANILA - 90.00 - 90.00 1-Apr-19 19-17 CANCERAN, LUZVIMINDA E. 109 - INT. 23 J. ZAMORA ST. ST. BRGY 846 PANDACAN - MANILA 2,350.00 - 2,350.00 2-Apr-19 19-18 Montecillo, Niña N. 612 ISPC CAYBIGA ST. BRGY 166 CALOOCAN CITY - 2,090.00 - 2,090.00 2-Apr-19 19-19 Pascua, Editha A. 581 INT 26 F. VARONA ST. BRGY 67 TONDO MANILA - 635.00 - 635.00 2-Apr-19 19-20 DE GUZMAN, MELY D. 64 MAUBAN ST. BRGY MANRESA QUEZON CITY - 1,615.00 - 1,615.00 2-Apr-19 19-21 LIBUNAO, RITA MARIA T. BLK 8-A LOT 18 PH 3-C TALANGKA ST. BRGY 22 DAGAT-DAGATAN - CALOOCAN 1,535.00 CITY - 1,535.00 2-Apr-19 19-22 GLABIN, JOSEPHINE C. B55 U18 PH2 NHV ST. BRGY BITONGOL NORZAGARAY - BULACAN 3,030.00 - 3,030.00 2-Apr-19 19-23 SANTIAGO, MEI ANN D. 1036 B. SOLIS ST. BRGY 214 TONDO MANILA - 2,015.00 - 2,015.00 2-Apr-19 19-24 BARON, MA. TERESITA V. 320 F. ANGALO ST. BRGY 274, ZONE 25 C.M RECTO, - MANILA 2,015.00 - 2,015.00 2-Apr-19 19-25 BERNABE, CONSUELO C. 753 INT. 87 RAXABAGO ST. BRGY 160 TONDO MANILA - 635.00 - 635.00 2-Apr-19 19-26 TABUZO, VENERANDA T. 19 P. CONCEPCION ST. BRGY CITY - 2,355.00 - 2,355.00 2-Apr-19 19-27 VIOLAGO, ROGELIO O. 2186 BALINGKIT ST., LEVERIZA ST. BRGY 711 MALATE - MANILA 615.00 - 615.00 2-Apr-19 19-28 REGONDOLA, APPLE ANN A. 267 ST. BRGY TALABA VI BACOOR CAVITE - 860.00 - 860.00 2-Apr-19 19-29 ENSEÑADO, RICHILDA S. 1359 ALFREDO ST. BRGY 342 STA. CRUZ MANILA - 620.00 - 620.00 2-Apr-19 19-30 CULAWAY, ZENAIDA L. BLK13 LOT15 PURIFICATION ST ST. BRGY 183 CALOOCAN - 11,800.00 - 11,800.00 2-Apr-19 19-31 HAPSON, MA. FE C. BLK 4 DAMATA LETRE ROAD ST. BRGY TONSUYA MALABON - CITY 1,215.00 - 1,215.00 2-Apr-19 19-32 MORALES, EVELYN S. BLK. 1 LOT 11 PH 2 A3 ST. BRGY LONGOS MALABON - CITY 1,365.00 - 1,365.00 3-Apr-19 19-33 PINEDA, ROMEO O. 47 MA.CLARA ST. BRGY STO.DOMINGO QUEZON CITY - 2,115.00 - 2,115.00 3-Apr-19 19-34 TEODORO, MA. TERESA BLK. 28 LOT 35 PH. 2 A1 ST. BRGY NBBS - 130.00 - 130.00 3-Apr-19 19-35 CRISOSTOMO, ARNOLD B. ROSSANA HEIGHTS ST. BRGY SAN MANUEL SAN JOSE - DEL MONTE BULACAN 2,500.00 - 2,500.00 3-Apr-19 19-36 MALICON, TESSIE G. 65C QUEZON ST. TONDO MANILA - 350.00 - 350.00 3-Apr-19 19-37 ONG, JANNIFER M. COMP 6, DOOR 2 ST. BRGY MANRESA QUEZON CITY - 1,960.00 - 1,960.00 3-Apr-19 19-38 Vasquez, Marivic A. 3179 LIMAY ST. MANUGUIT SUBD ST. TONDO MANILA - 860.00 - 860.00 4-Apr-19 19-39 FROYALDE, ROMEO C. BRGY MAPID LAGONOY CAMARINES SUR - 4,335.00 - 4,335.00 4-Apr-19 19-40 GABRIEL, ROSALINA O. 1603 INT. 7 F. VARONA ST. BRGY 80 TONDO MANILA - 2,500.00 - 2,500.00 4-Apr-19 19-41 SANDOVAL, RAMONA 33 BURGOS ST. PROJECT 4 QUEZON CITY - 2,500.00 - 2,500.00 4-Apr-19 19-42 SANDOVAL, RAMONA 33 BURGOS ST. PROJECT 4 QUEZON CITY - 130.00 - 130.00 4-Apr-19 19-43 FUNTANILLA, ARSENIO V. 744 KARILAGAN ST. BRGY 184 GAGALANGIN, TONDO - MANILA 3,100.00 - 3,100.00 5-Apr-19 19-44 DUEÑAS, YOLANDA D. 1283 INT 31 TAMBUNTING ST. BRGY 375 STA CRUZ MANILA- 780.00 - 780.00 5-Apr-19 19-45 DE GUZMAN, JECERY E. AG15 1933 ANACLETO ST. TONDO MANILA - 350.00 - 350.00 5-Apr-19 19-46 JOSE, BAYANI T. 2427 PIDEL ST. GAGALANGIN, TONDO MANILA - 400.00 - 400.00 5-Apr-19 19-47 CALIMLIM, NATY 189 10TH AVE 10TH ST. ST. BRGY 93 GRACE PARK CALOOCAN - 7,340.00 - 7,340.00 5-Apr-19 19-48 ESPORTUNO, MYRNA 100 BATIMANA COMPOUND ST. MARULAS VALENZUELA - CITY 130.00 - 130.00 5-Apr-19 19-49 Donor, Luisito L. 3394 F. ROXAS ST. ST. BRGY 187 BARRIO OBRERO, TONDO - MANILA 2,300.00 - 2,300.00 5-Apr-19 19-50 MORALES, ELVIRA S. 57 ROMANA ST. BRGY 103 TONDO MANILA - 12,560.00 - 12,560.00 5-Apr-19 19-51 GUTIERREZ, ELENA N. 36 A. BONIFACIO TALIPAPA ST. BRGY FLORES MALABON - CITY 1,245.00 - 1,245.00 5-Apr-19 19-52 ENRIQUEZ, LALAINE B. 447 BLK.4 KADIMA ST. BRGY TONSUYA MALABON CITY - 600.00 - 600.00 5-Apr-19 19-53 FLORES, GINA S. 1404 M. DELA FUENTE ST. BRGY 482 SAMPALOC MANILA - 1,060.00 - 1,060.00 8-Apr-19 19-54 ENRIQUEZ, GIL RECAREDO G. 1327 CRAIG ST. BRGY 510 SAMPALOC MANILA - 900.00 - 900.00

Page 1 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

8-Apr-19 19-55 MORALES, FLORENCIO P. 48 SAMPAGUITA ST. BRGY 156 BAGONG BARRIO EAST - CALOOCAN CITY 140.00 - 140.00 8-Apr-19 19-56 DALDE, SALVACION A. 1341 P. GUEVARRA ST. BRGY 318 STA. CRUZ MANILA - 170.00 - 170.00 8-Apr-19 19-57 PAGASPAS, JAYSON P. 19 MALAYA ST. BRGY 28 CALOOCAN CITY - 280.00 - 280.00 8-Apr-19 19-58 AWOX, FLORA V. 1838 ANAKBAYAN ST. BRGY 686 PACO MANILA - 600.00 - 600.00 8-Apr-19 19-59 DOMINGO, GENOVEVA BRGY SAN JUAN HAGONOY BULACAN - 11,800.00 - 11,800.00 10-Apr-19 19-60 GONZAGA, JOHNNY P. 2016 CENTRAL RD. RAMINEL SUBD. ST. BRGY VIENTE - REALES VALENZUELA 80.00 CITY - 80.00 10-Apr-19 19-61 SACLOLO, GONZALO JR. T. BLK120 LOT3-B ST. BRGY RIZAL CITY - 210.00 - 210.00 10-Apr-19 19-62 DAYRIT, DANILO F. 1239 E. BAMBANG ST. BRGY 254 TONDO MANILA - 500.00 - 500.00 10-Apr-19 19-63 DE DIOS , DANTE B. 362 RAHA TUPAS ST. BRGY DAANGHARI NAVOTAS CITY - 210.00 - 210.00 10-Apr-19 19-64 LAGAN, MA.TERESA V. BLK1 DAMATA ST. BRGY TONSUYA LETRE MALABON - CITY 715.00 - 715.00 10-Apr-19 19-65 ANCHETA, RIZALINA P. BLK2 LOT31 PH1 SOUTHVILLE-4 ST. BRGY CAINGIN - SANTA ROSA LAGUNA 1,005.00 - 1,005.00 10-Apr-19 19-66 SABORNIDO, ROSIE B. 2752 ANACLETO ST. BRGY 210 TONDO MANILA - 670.00 - 670.00 10-Apr-19 19-67 CLAVERIA, SOLEDAD L. 734 LAKAMBINI ST ST. BRGY 184 TONDO MANILA - 635.00 - 635.00 10-Apr-19 19-68 YAP, MARY GRACE 931 ASUNCION ST. TONDO MANILA - 1,880.00 - 1,880.00 10-Apr-19 19-69 DIOQUINO, CONNIE 322 JP RIZAL ST. BRGY MANGGAHAN RODRIGUEZ RIZAL - 7,340.00 - 7,340.00 10-Apr-19 19-70 ANATALIO, PRICILA F. 416-5F QUEZON BLVD. ST. BRGY 306 QUIAPO MANILA - 820.00 - 820.00 10-Apr-19 19-71 PADUL, MARICEL M. JUDGE A. ROLDAN ST., CORNER EVERLASTING ST. BRGY - SAN ROQUE NAVOTAS 635.00 CITY - 635.00 10-Apr-19 19-72 TEODORO, MA. TERESA BLK. 28 LOT 35 PH. 2 A1 ST. BRGY NBBS NAVOTAS - 5,105.00 - 5,105.00 10-Apr-19 19-73 ALBARICO, ANABELLE T. 1339 ANTONIO ST. BRGY 342 STA. CRUZ MANILA - 7,340.00 - 7,340.00 11-Apr-19 19-74 SY, ROSEMARIE A. 1089 AGUILAR ST. BRGY 294 BINONDO MANILA - 940.00 - 940.00 11-Apr-19 19-75 MAHUSAY, EVIDENCIO L. PH 3E-1, BLK 2D LOT 21 ST. BRGY 14, ZONE 2 DAGAT- - DAGATAN CALOOCAN 770.00 CITY - 770.00 11-Apr-19 19-76 PACALDO, LOURDES R. 2094 CLEMENTE ST. BRGY 158 TONDO MANILA - 90.00 - 90.00 11-Apr-19 19-77 BESETE, NENITA L. LOT 1 MAYVILLE ST. BRGY 167 LLEANO CALOOCAN CITY- 185.00 - 185.00 11-Apr-19 19-78 GOJANGCO, PATRICIO B. 40 INTERIOR REPARO ST. BRGY 142 BAGONG BARRIO - CALOOCAN CITY` 1,550.00 - 1,550.00 11-Apr-19 19-79 TATOY, VINCE KENNETH G. 371 MPC MENDEZ ST ST. BRGY BAESA QUEZON CITY - 90.00 - 90.00 11-Apr-19 19-80 DIDULO, JESUSA R. B56 ANTIPOLO ST ST. BRGY 511 SAMPALOC MANILA - 1,085.00 - 1,085.00 11-Apr-19 19-81 AVE, SHEENA MAE M. 36 SALMON ST. BRGY 8 CALOOCAN CITY - 360.00 - 360.00 11-Apr-19 19-82 CABALLES, BERNABE B. BLK 6 C. MOLINA ST. BRGY VALENZUELA - CITY 900.00 - 900.00 11-Apr-19 19-83 ESPIRITU, CARLOS M. BRGY BINTACAN KABISERA 14-16 ILAGAN ISABELA - 900.00 - 900.00 11-Apr-19 19-84 MORALES, JOSEPH S. 1858 ORO B ST. BRGY 770 STA. ANA MANILA - 2,680.00 - 2,680.00 11-Apr-19 19-85 TRINIDAD, CONCEPCION E. 27 ST. BRGY 155 BAGONG BARRIO CALOOCAN - CITY 1,235.00 - 1,235.00 11-Apr-19 19-86 DIAZ, ALBERTO P. BLK. 8 LOT 11 ST. BRGY ESTRELLA SAN PEDRO LAGUNA - 260.00 - 260.00 11-Apr-19 19-87 ZANDUETA, RUBY R. 135 CHAMPACA ST. BRGY TANZA NAVOTAS CITY - 635.00 - 635.00 11-Apr-19 19-88 LAZARO, JULIETA BRGY SAN ROQUE NAVOTAS CITY - 2,500.00 - 2,500.00 11-Apr-19 19-89 GASES, RICHARD 3465 CECILIO ST. TONDO MANILA - 650.00 - 650.00 11-Apr-19 19-90 MALIWAT, EVALYN BLK 16 LOT 7 PHASE2A ST. BRGY KAUNLARAN VILLAGE - MALABON CITY 1,235.00 - 1,235.00 11-Apr-19 19-91 LICOP, MARCOS M. 16 INAMAN ST. BRGY MASAMBONG QUEZON CITY - 940.00 - 940.00 11-Apr-19 19-92 VILLAGRACIA, FLORA D. 72-I DIWA ST ST. BRGY 59 NONE CALOOCAN CITY - 1,235.00 - 1,235.00 12-Apr-19 19-93 JARITO, MANSUETA P. 34 C MAGSAYSAY ST. BRGY 107 TONDO MANILA - 650.00 - 650.00 12-Apr-19 19-94 BOLANDO, ANA MARIE C. 664 PALAWAN ST. BRGY PITOGO MAKATI - 820.00 - 820.00 12-Apr-19 19-95 CASTAÑOS, FE L. BLK. 4 LOT 17 PH. 2 PARADISE VILLAGE ST. BRGY TONSUYA - LETRE MALABON 415.00 CITY - 415.00 12-Apr-19 19-96 ANDRADE, REMIGIO C. 1711 G. PERFECTO ST. BRGY 52 TONDO MANILA - 530.00 - 530.00 12-Apr-19 19-97 ABARING, ELEANOR B. 2115 A. BATO EXT. RAXABAGO ST. BRGY 150, ZONE 3,120.00 13 TONDO MANILA - - 3,120.00 12-Apr-19 19-98 QUIROLGICO, REYBERT C. BLK 2 LOT 7 PH 4-E ST. BRGY DILA STA. ROSA LAGUNA - 650.00 - 650.00 12-Apr-19 19-99 GARRIDO, ANA CHARMEEN S. G. TUAZON ST. BRGY 422 SAMPALOC MANILA - 1,235.00 - 1,235.00 12-Apr-19 19-100 GARRIDO, ANA CHARMEEN S. G. TUAZON ST. BRGY 422 SAMPALOC MANILA - 650.00 - 650.00 12-Apr-19 19-101 DELGADO, GINA MAE V. BLK 11 LOT 26 PHASE 1 PANDI RESIDENCE 1 ST. BRGY - MAPULANG LUPA 1,235.00 PANDI BULACAN - 1,235.00 12-Apr-19 19-102 TUMBAGA, LEONORA N. BLK.11 LOT.10 MOLAVE ST. ST. BRGY 145 STO. NIÑO - CITY 860.00 - 860.00 12-Apr-19 19-103 ALEGRE, ANA MARIE 116 STOTSENBURG ST. 12 AVE. WEST CALOOCAN CITY - 130.00 - 130.00 15-Apr-19 19-104 YNION, DIONISIA T. 89 PANGAKO ST. BRGY 141 BAGONG BARRIO CALOOCAN - CITY 1,235.00 - 1,235.00 15-Apr-19 19-105 VERGARA, NELSON N. 105 SITIO JASMIN ST. BRGY NIUGAN MALABON CITY - 11,800.00 - 11,800.00 15-Apr-19 19-106 SAGUM, MARIA AIDA D. 1610 SAWATA AREA 1 ST. BRGY 35 MAYPAJO CALOOCAN - CITY 770.00 - 770.00 15-Apr-19 19-107 BRILLANTE, MELDA M. PFDANFPC BGA COMPOUND ST. BRGY NBBN NAVOTAS - CITY 770.00 - 770.00 15-Apr-19 19-108 URSUA, PEDRO G. 44 QUEZON ST ST. BRGY 112 TONDO MANILA - 715.00 - 715.00 15-Apr-19 19-109 Sajorda, Fedelita T. 25-A 15TH AVE., MURPHY ST. BRGY SOCORRO CUBAO - QUEZON CITY 360.00 - 360.00 15-Apr-19 19-110 Sajorda, Fedelita T. 25-A 15TH AVE., MURPHY ST. BRGY SOCORRO CUBAO - QUEZON CITY 600.00 - 600.00 15-Apr-19 19-111 ESPLANA, NILDA C. 940 STA. MONICA ST. ST. BRGY MALINTA VALENZUELA - 1,060.00 - 1,060.00 15-Apr-19 19-112 POSADAS, JEFFREY C. 902 A. DE CASTRO ST ST. BRGY MALINTA VALENZUELA - CITY 12,560.00 - 12,560.00 15-Apr-19 19-113 POLINTAN, NELIA D. 136 P. GOMEZ ST. BRGY 154 BAGONG BARRIO CALOOCAN - CITY 1,510.00 - 1,510.00 15-Apr-19 19-114 ESERJOSE, JOSEFINA M. BLK3 P3 LOT23 WOOD STATE ST. BRGY SAN JOSE DASMARINAS - CAVITE 2,500.00 - 2,500.00 15-Apr-19 19-115 GARCIA, LORNA R. 2757 PAULINO ST. BRGY NONE BALUT, TONDO MANILA - 130.00 - 130.00

Page 2 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

15-Apr-19 19-116 VELASCO, GEORGE 1922 INT 16 BANANA PANDACAN MANILA - 715.00 - 715.00 15-Apr-19 19-117 TURLAO, MARIA CRISTINA T. 1047 LEYTE DEL SUR ST. BRGY 563 SAMPALOC MANILA - 170.00 - 170.00 15-Apr-19 19-118 CARREON, MA. THERESA V. BLOCK 13 LOT 18 SAN FERNANDO ST., NEW HAVEN - VILLAGE ST. BRGY 940.00 KALIGAYAHAN NOVALICHES - QUEZON CITY 940.00 15-Apr-19 19-119 GLORIA, MA. APRIL S. BLK 80 EXCESS LOT PHASE 6 ST. BRGY FATIMA 3 DASMARIÑAS - CAVITE 650.00 - 650.00 15-Apr-19 19-120 GOSGOLAN , DENIESSE M. PUROK 3 ST. BRGY BEGUIN BULAN SORSOGON - 2,350.00 - 2,350.00 15-Apr-19 19-121 ESTOPACE, CHARITO E. 3636 R. MAGSAYSAY ST. BRGY 593 STA. MESA MANILA - 770.00 - 770.00 16-Apr-19 19-122 DE GUZMAN, MARIA LOURDES R. 500 SANTOL ST. ST. BRGY 586 SAMPALOC MANILA - 12,460.00 - 12,460.00 16-Apr-19 19-123 MANICIA, BRANDO A. 967 A. NEW ANTIPOLO ST. BRGY 214 TONDO MANILA - 635.00 - 635.00 16-Apr-19 19-124 DEL PILAR , RENATO M. 40 SITIO BALUT ST. BRGY TONSUYA MALABON CITY - 90.00 - 90.00 16-Apr-19 19-125 SALAZAR, EMILY T. BLK78 LOT5 VILLAMOR ST. PH4 ST. BRGY NONE WESTERN - BICUTAN 2,500.00 - 2,500.00 16-Apr-19 19-126 CONCEPCION, JOSEPH P. 24 DEL ROSARIO SUBD. LOWER TAMARAW ST. BRGY - MARULAS VALENZUELA 890.00 CITY - 890.00 16-Apr-19 19-127 PERUCHO, RONNICO M. 622 PERLA ST. BRGY 57 TONDO MANILA - 90.00 - 90.00 16-Apr-19 19-128 MORALES, SYLVIA M. 535 ANTIPOLO ST. ST. BRGY 169 TONDO MANILA - 715.00 - 715.00 16-Apr-19 19-129 BOBARES, PACITA I. 207 FELIZA BUKID ST. BRGY PARADA VALENZUELA - CITY 770.00 - 770.00 16-Apr-19 19-130 BAUTISTA, ARTURO T. P1 B1 L7 KAPATID ST. BRGY 165 BAGBAGUIN CALOOCAN - CITY 2,600.00 - 2,600.00 16-Apr-19 19-131 GALANG, EDGARDO D. 1467 INT. 69 GOMEZ ST. BRGY 822 PACO MANILA - 210.00 - 210.00 16-Apr-19 19-132 DE LEON, MA. THERESA B. 16 PLARIDEL ST. BRGY 9 CALOOCAN CITY - 820.00 - 820.00 16-Apr-19 19-133 DAGAMI, JACOB 1030 TAYUMAN ST. BRGY NONE MISSIONARIES OF CHARITY, - HOME OF 940.00 JOY, TONDO MANILA - 940.00 16-Apr-19 19-134 TAMBA, ROWENA B. 20 AGUINALDO ST. BRGY 105 MAGSAYSAY VILLAGE, - TONDO MANILA 960.00 - 960.00 16-Apr-19 19-135 GARCILLIAN, WENDY V. 9 DALAG DRIVE ST. BRGY TATALON QUEZON CITY - 640.00 - 640.00 16-Apr-19 19-136 MIPARANUM, RICHARD B. 12 BAGONG KALSADA ST. BRGY TANGOS NAVOTAS CITY- 400.00 - 400.00 16-Apr-19 19-137 JASPE, NATHALIA R. 1907 TRINIDAD RIZAL ST. ST. BRGY 92 TONDO MANILA - 210.00 - 210.00 16-Apr-19 19-138 RODRIGUEZ, ZORAIDA L. 1907 TRINIDAD ST ST. BRGY 92 TONDO MANILA - 1,235.00 - 1,235.00 16-Apr-19 19-139 BERMEJO, MYLA S. 2157 DELUPIO ST. BRGY FORTUNE 1 GEN. T. DE LEON - VALENZUELA CITY 820.00 - 820.00 16-Apr-19 19-140 TABUSO, ALLYZA KATRINA B. BLK 5 LOT 40 NORTHVIEW POINTE ST. BRGY PAJO MEYCAUAYAN - BULACAN 1,520.00 - 1,520.00 16-Apr-19 19-141 RAMIREZ, ELENA 2234 D ANACLETO ST. BRGY 357 STA. CRUZ MANILA - 220.00 - 220.00 16-Apr-19 19-142 ESPORTUNO, MYRNA 100 BATIMANA COMPOUND ST. BRGY NONE MARULAS - VALENZUELA CITY 210.00 - 210.00 17-Apr-19 19-143 Tingkingco, Luzviminda M. B 35-A L 3 PH 3 F-1 ST. LANGAPAY CALOOCAN CITY - 940.00 - 940.00 17-Apr-19 19-144 MORABOR, EUSTAQUIA E. 79 CHAMPACA ST. BRGY 137 PASAY CITY - 400.00 - 400.00 17-Apr-19 19-145 SEPONTOS, ROSEVELLA S. BLK4 LOT13 ST. BRGY YAKAL SILANG CAVITE 3,120.00 - - 3,120.00 17-Apr-19 19-146 DELA CRUZ, JOSE V. 627 PAG-ASA ST. BRGY 173 TONDO MANILA - 2,500.00 - 2,500.00 17-Apr-19 19-147 DIÑO, LORETA E. 56 KALAYAAN C ST. BRGY QUEZON - CITY 455.00 - 455.00 17-Apr-19 19-148 TARNATE, REYNALDO C. B37-D L16 P2 AREA 4 MARTINIKO ST. BRGY NBBS NAVOTAS - CITY 2,500.00 - 2,500.00 17-Apr-19 19-149 MANTOS, JESSICA A. POBLACION CATAYNAN ST. BRGY NONE MASBATE - 640.00 - 640.00 17-Apr-19 19-150 NILES, SATURNINA C. 203 F. MANALO EXT ST. BRGY 11 SAN JUAN - 1,235.00 - 1,235.00 17-Apr-19 19-151 PEREZ, CRISTINA A. F. PASCUAL TRES TABING DAGAT ST. BRGY DAANGHARI - NAVOTAS CITY 1,235.00 - 1,235.00 17-Apr-19 19-152 BRINGAS, ALEX B. BRGY BUNLAO ALCANTARA ROMBLON 3,120.00 - - 3,120.00 22-Apr-19 19-153 NOVA, RODEL G. 39 DURIAN ST ST. BRGY BF HOMES PARANAQUE - 3,960.00 - 3,960.00 22-Apr-19 19-154 BOTE, REBECCA L. 1139 INT46 VARGAS ST. BRGY 216 TONDO MANILA - 1,235.00 - 1,235.00 22-Apr-19 19-155 PAÑA, VERGILIA B. 4886-17 C. SAN ISIDRO ST ST. BRGY 598 STA. MESA MANILA - 1,235.00 - 1,235.00 22-Apr-19 19-156 DE LEON, YOLANDA B. 929 HENARO ST. BRGY 95 TONDO MANILA - 530.00 - 530.00 22-Apr-19 19-157 PINERA, AIDA Y. PUROK 2 ST. BRGY PULONG STA. CRUZ STA. ROSA LAGUNA - 1,885.00 - 1,885.00 22-Apr-19 19-158 SAMPANA, MARIANO BLK 68 LOT 15 HERITAGE HOME MARILAO BULACAN - 770.00 - 770.00 22-Apr-19 19-159 ZORILLA, AURORA C. BRGY MUZON COLGANTE, - 1,420.00 - 1,420.00 22-Apr-19 19-160 URBANO, APOLINARIO R. B3 L24 TANDANG MANANG ST. BRGY PARADA VALENZUELA - CITY 2,680.00 - 2,680.00 22-Apr-19 19-161 MORALES, ROSE MARILYN 1327 TORRES , BRGY GALLON STY TONDO MANILA - 635.00 - 635.00 22-Apr-19 19-162 PELOBELLO, BRIGIDO N. 1322 DM COMPD. ST. BRGY 73 CALOOCAN CITY - 635.00 - 635.00 22-Apr-19 19-163 BARROGA, NIKKI O. 251-D TERESA ST. BRGY 592 STA. MESA MANILA - 640.00 - 640.00 22-Apr-19 19-164 DANAO, RITO C. KMP1 SUBDV PHASE 1 BLK 2 LOT 3 ST. BRGY PASONG - CAMACHILE GENERAL 470.00 TRIAS CAVITE - 470.00 23-Apr-19 19-165 VILLANUEVA, NONCITO T. BLK. 8 OLD SITE 79 BASECO ST. BRGY 649 PORT AREA - MANILA 900.00 - 900.00 23-Apr-19 19-166 ISIP, BASILISA M. 1773 A. RIVERA ST. BRGY 234 TONDO MANILA - 1,350.00 - 1,350.00 23-Apr-19 19-167 MENDOZA, LUCILA S. 318 LIBIS GOCHUICO ST. BRGY 22 CALOOCAN CITY - 820.00 - 820.00 23-Apr-19 19-168 GREGORIO, FERDINAND B. 373 CRISTOBAL ST. BRGY 69 TONDO MANILA - 1,235.00 - 1,235.00 23-Apr-19 19-169 FLORES, VILMA D. 412 PACHECO ST. BRGY 67, ZONE 6 TONDO MANILA - 530.00 - 530.00 23-Apr-19 19-170 GUARDIAN, DORMIDA C. 22 SAMPAGUITA ST. BRGY A QUEZON CITY - 11,800.00 - 11,800.00 23-Apr-19 19-171 CLEMENTE, EDITHA L. 19 PHODACA ST. BRGY STO. NIÑO GALAS QUEZON CITY - 2,500.00 - 2,500.00 24-Apr-19 19-172 ALAMO, JAIME D. 589 GOVERNOR PASCUAL ST. BRGY SAN ROQUE NAVOTAS - CITY 900.00 - 900.00 24-Apr-19 19-173 CALMA, RILE C. BLOCK 64 LOT 8 PUROK 4 KAWAL ST. BRGY 28 DAGAT-DAGATAN - CALOOCAN 530.00 CITY - 530.00 24-Apr-19 19-174 CRUZ, AMIE A. 1068 B. SOLIS ST. BRGY 215 TONDO MANILA 3,120.00 - - 3,120.00 24-Apr-19 19-175 MESONGCO, ANALYN C. PH. 1 LOT 17 MAKATURING ST. ST. BRGY MANRESA - QUEZON CITY 2,405.00 - 2,405.00 25-Apr-19 19-176 CABALLA, MARIA F. 38 VICTORIA VILLAGE ST. BRGY CANUMAY EAST VALENZUELA - CITY 845.00 - 845.00

Page 3 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

25-Apr-19 19-177 ADRIANO, RENATO T. 1028 ANTIPOLO ST. BRGY 505 SAMPALOC MANILA - 210.00 - 210.00 25-Apr-19 19-178 DOMINGUEZ, VIRGINIA B. 1622 DIVINITO ST. BRGY KASILAWAN MAKATI CITY - 530.00 - 530.00 25-Apr-19 19-179 UMANDAL, ESTELITO L. 1633 PAMPANGA ST. BRGY 382 STA. CRUZ MANILA - 1,060.00 - 1,060.00 25-Apr-19 19-180 YU, CHRISTINE QUIEL D. BLK. 19 LOT 6 KARISMA VILL ST. BRGY PANGHULO MALABON- CITY 1,060.00 - 1,060.00 25-Apr-19 19-181 BACUCANAG, JOCELYN R. 112 SAN BARTOLOME ST. BRGY SAN PASCUAL OBANDO, - BULACAN 130.00 - 130.00 29-Apr-19 19-182 REYES, PRINCESS ANZEN E. SITIO 2 TALISAY EXT ST. BRGY BIÑAN PAGSANJAN LAGUNA - 6,230.00 - 6,230.00 29-Apr-19 19-183 LIGUID, ASUNCION Q. 44 SILANGANAN ST ST. BRGY 23 CALOOCAN CITY - 1,235.00 - 1,235.00 29-Apr-19 19-184 NEBRES, EDGARDO K. 37 - P CAPALAD ST. BRGY BALANGKAS VALENZUELA - CITY 485.00 - 485.00 29-Apr-19 19-185 MAGALLANES, VIRGILIO B. BRGY KALIWANAGAN SAN JIOSE - 1,465.00 - 1,465.00 30-Apr-19 19-186 BUGAYONG, LOLITA G. 57 MENDEZ ST. BRGY BAESA QUEZON CITY - 360.00 - 360.00 30-Apr-19 19-187 MENDOZA, LORENZO O. 1024 INT8 MARIANO ST ST. BRGY 33 MAYPAJO CALOOCAN - CITY 570.00 - 570.00 3-May-19 19-188 GURROBAT, CECILIA A. RM 102 B4 BLDG 6 DISCIPLINE VILL. ST. BRGY BIGNAY 3,120.00 VALENZUELA - - 3,120.00 3-May-19 19-189 BATOON, TERESITA M. 1247 SEVERINO ST. BRGY 328 STA. CRUZ MANILA 3,120.00 - - 3,120.00 3-May-19 19-190 ABARING, ELEANOR B. 2115 A. BATO EXT. RAXABAGO ST. BRGY 150, ZONE 3,120.00 13 TONDO MANILA - - 3,120.00 6-May-19 19-191 TOLENTINO, JANETTE S. 84 LAUREL ST. BRGY 116, ZONE 9 TONDO MANILA - 7,800.00 - 7,800.00 6-May-19 19-192 BARON, LEONARDO D. BRGY 141 BAGONG BARRIO CALOOCAN CITY 3,120.00 - - 3,120.00 7-May-19 19-193 SATSATIN , ELISEO JR S. BRGY STO. TOMAS BIÑAN LAGUNA 7,800.00 - - 7,800.00 7-May-19 19-194 CONCEPCION, JOSEPH P. 24 DEL ROSARIO SUBD. LOWER TAMARAW ST. 3,120.00BRGY MARULAS VALENZUELA - CITY - 3,120.00 8-May-19 19-195 CRUZ, AMIE A. 1068 B. SOLIS ST. BRGY 215 TONDO MANILA 3,120.00 - - 3,120.00 9-May-19 19-196 CUETO, MARICRIS L. 756 SAN BERNARDO ST ST. BRGY 29 STA. CRUZ 3,120.00 MANILA - - 3,120.00 9-May-19 19-197 BRIONES, MICHAEL N. 1079 ROAD 2 TAMBALAN ST. ST. BRGY 35 MAYPAJO 3,120.00 CALOOCAN - - 3,120.00 10-May-19 19-198 MEJICA, MA.ROSALEA A. MASVILLE COMP. ST. BRGY BF HOMES PARAÑAQUE 3,120.00 CITY - - 3,120.00 14-May-19 19-199 VIRAY, SHAYNE LORAINE C. 47 BAKAWAN ST ST. BRGY VETERANS VILL. QUEZON 3,120.00 CITY - - 3,120.00 14-May-19 19-200 MALLARI, FELINO JR D. 107 ADALIA ST. BRGY 101 10TH AVENUE CALOOCAN 3,120.00 CITY - - 3,120.00 15-May-19 19-201 CAJAYON, ROMULFO M. 1913 DAGUPAN EXTENSION ST. BRGY 156 TONDO 3,120.00 MANILA - - 3,120.00 15-May-19 19-202 TOLENTINO, JANETTE S. 84 LAUREL ST. BRGY 116, ZONE 9 TONDO MANILA - 7,800.00 - 7,800.00 15-May-19 19-203 PIANG, SHIRELYN T. 167 RUBY ST. BRGY 122 TONDO MANILA 3,120.00 - - 3,120.00 16-May-19 19-204 CASTILLO, MINERVA Z. 477 PILAPIL ST. BRGY 74 TONDO MANILA 3,120.00 - - 3,120.00 20-May-19 19-205 ARUTA, JHOMAR P. 456 CASTAÑAS ST. ST. BRGY 118 TONDO MANILA 3,120.00 - - 3,120.00 21-May-19 19-206 PIANG, SHIRELYN T. 167 RUBY ST. BRGY 122 TONDO MANILA 3,120.00 - - 3,120.00 21-May-19 19-207 GURROBAT, CECILIA A. RM 102 B4 BLDG 6 DISCIPLINE VILL. ST. BRGY BIGNAY 3,120.00 VALENZUELA - - 3,120.00 21-May-19 19-208 BARON, LEONARDO D. BRGY 141 BAGONG BARRIO CALOOCAN CITY 3,120.00 - - 3,120.00 22-May-19 19-209 SANTOS, ROOSEVELT L. 135-E KAPOK ST. ST. BRGY 126 SAN JOSE CALOOCAN 3,120.00 CITY - - 3,120.00 22-May-19 19-210 ILDEFONSO, MARIA NYMPHA R. BLK 25 LOT 16 LEGION 23 ST. BRGY CARSADANG 3,120.00 BAGO IMUS CAVITE - - 3,120.00 22-May-19 19-211 SIAZON, NONILON R. 212-A ST. BRGY TALABA II BACOOR CAVITE 3,120.00 - - 3,120.00 23-May-19 19-212 MALSI, ARNEL B. BLK. 21 LOT. 4, VILLA SAN MATEO ST. BRGY GITNANG 9,360.00 BAYAN SAN MATEO - RIZAL - 9,360.00 23-May-19 19-213 CASTILLO, MINERVA Z. 477 PILAPIL ST. BRGY 74 TONDO MANILA 3,120.00 - - 3,120.00 24-May-19 19-214 BATOON, TERESITA M. 1247 SEVERINO ST. BRGY 328 STA. CRUZ MANILA 3,120.00 - - 3,120.00 24-May-19 19-215 AGUDERA, CHRISTIAN A. B18 LOT16 LAWAAN ST. ST. BRGY 145 STO. NIÑO 3,120.00 PASAY CITY - - 3,120.00 24-May-19 19-216 REYES, DHENVER C. BLK 18 LOT 22 DOLMAR SUBDV ST. BRGY SAN VICENTE 3,120.00 STA MARIA BULACAN - - 3,120.00 24-May-19 19-217 VELARDE, JENELYN C. BLDG 15 KATUPARAN VITAS ST. BRGY 101 TONDO 3,120.00 MANILA - - 3,120.00 27-May-19 19-218 CUETO, MARICRIS L. 756 SAN BERNARDO ST ST. BRGY 29 STA. CRUZ 3,120.00 MANILA - - 3,120.00 28-May-19 19-219 VIRAY, SHAYNE LORAINE C. 47 BAKAWAN ST ST. BRGY VETERANS VILL. QUEZON 3,120.00 CITY - - 3,120.00 28-May-19 19-220 RIZO, GERRY R. 329 NDC COMPOUND PUREZA ST. BRGY 628 STA. 3,120.00 MESA MANILA - - 3,120.00 29-May-19 19-221 ARUTA, JHOMAR P. 456 CASTAÑAS ST. ST. BRGY 118 TONDO MANILA 3,120.00 - - 3,120.00 29-May-19 19-222 TOLENTINO, JANETTE S. 84 LAUREL ST. BRGY 116, ZONE 9 TONDO MANILA - 7,800.00 - 7,800.00 29-May-19 19-223 DARIO, ENRIQUITA H. AREA H. GATE 62 PAROLA COMP. ST. BRGY NONE 3,120.00 BINONDO MANILA - - 3,120.00 29-May-19 19-224 VELARDE, JENELYN C. BLDG 15 KATUPARAN VITAS ST. BRGY 101 TONDO 3,120.00 MANILA - - 3,120.00 31-May-19 19-225 Estrada, Manuel Jr E. 115 R. SANTIAGO ST. 9TH AVE ST. BRGY NONE 3,120.00CALOOCAN CITY - - 3,120.00 31-May-19 19-226 MEJICA, MA.ROSALEA A. MASVILLE COMP. ST. BRGY BF HOMES PARAÑAQUE 3,120.00 CITY - - 3,120.00 31-May-19 19-227 SANTOS, ROOSEVELT L. 135-E KAPOK ST. ST. BRGY 126 SAN JOSE CALOOCAN 3,120.00 CITY - - 3,120.00 5-May-19 19-228 REYES, YVES SOPHIA P. BRGY MALAGASANG ID IMUS CAVITE - - 81,506.70 81,506.70 5-May-19 19-229 SODOY, MCVINSON G. BRGY NAGPULOK TAAL BATANGAS - - 34,563.91 34,563.91 4-May-19 19-230 BINABAN, RICHARD T. BRGY SOUTH SIGNAL TAGUIG - - 24,392.62 24,392.62 4-May-19 19-231 PLAZA, CARL JETHRO B. BRGY BALAYONG BULACAN - - 14,156.55 14,156.55 4-May-19 19-232 FELICES, TESSIE M. BRGY 36 PASAY - - 11,964.62 11,964.62 3-May-19 19-233 SAMARRO, JESSIE MHAR B2, L9 ST. BRGY 28 BAGONG SIBOL CALOOCAN CITY - - 6,800.32 6,800.32 3-May-19 19-234 LISING, MARIA LORRAINE D. WAKAS ST. BRGY 46 TONDO MANILA - - 1,899.87 1,899.87 3-May-19 19-235 PARADERO, EDUARD B. BRGY MUZON SAN JOSE DEL MONTE BULACAN - - 8,238.93 8,238.93 9-May-19 19-236 AGUADO, FERNANDO F. 20 TAGAYTAY ST. BRGY SAN JOSE QUEZON CITY - - 11,851.98 11,851.98 9-May-19 19-237 DELA CRUZ, PRINCESS DIVINE T. NPC ULINGAN ST. ST. BRGY -- VALENZUELA - CITY - 5,387.75 5,387.75

Page 4 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

9-May-19 19-238 LAPESORA, MARCO M. 2554 TEJERON ST. BRGY NONE STA ANA MANILA - - 21,644.53 21,644.53 12-May-19 19-239 DE GUZMAN, VIVIAN O. MAYHALIGUE ST. BRGY 264 TONDO MANILA - - 218.72 218.72 12-May-19 19-240 CABRESTANTE, MARK V. BRGY NBBS NAVOTAS - - 14,214.35 14,214.35 12-May-19 19-241 GALAM, ANTONIO E. 32 SANCHEZ ST. BRGY TINEJEROS MALABON CITY - - 60,018.14 60,018.14 12-May-19 19-242 BARAGUIR, MOTAWALI M. B20 L37 BASECO ST. BRGY 649 PORT AREA,BASECO - MANILA - 7,854.41 7,854.41 12-May-19 19-243 QUINDOZA, ARMANDO M. BRGY BUKAL BUNGABONG ORRIENTAL MINDORO - - 9,235.77 9,235.77 11-May-19 19-244 BALAGTAS, GAUDENCIO P. P GOMEZ ST. BRGY 67 CALOOCAN CITY - - 38,726.24 38,726.24 10-May-19 19-245 RAMIREZ, BEVERLY L. 166 GOLD RACK ST. ST. BRGY SAN ROQUE NAVOTAS - CITY - 684.62 684.62 19-May-19 19-246 LIMPIN, MARIA MICHELLE J. 701 GALICIA ST. BRGY 404 SAMPALOC MANILA - - 1,700.56 1,700.56 15-May-19 19-247 MANFORTE, JUDY ANN H. BRGY BANTAYAN PILAR SORSORGON - - 2,177.16 2,177.16 15-May-19 19-248 SUAREZ, JENNY R. 966 KUSANG LOONB ST. STA. CRUZ MANILA - - 5,628.63 5,628.63 11-May-19 19-249 BALZA, JAYSON F. BRGY OLYMPIA SAN PEDRO LAGUNA - - 4,546.62 4,546.62 11-May-19 19-250 RODRIGUEZ, JAMILLA CASSIOPEA2566 C. LINE ST. BRGY 783 STA. ANA MANILA - - 8,144.70 8,144.70 11-May-19 19-251 MARIANO, ZENAIDA T. BRGY 402 SAMPALOC MANILA - - 23,958.54 23,958.54 10-May-19 19-252 SANDIL, CRESENCIANO R. BRGY MASAGANA PANDI BULACAN - - 37,535.58 37,535.58 13-May-19 19-253 LATIP, ALICIA JANE G. BRGY 96 CALOOCAN CITY - - 15,131.22 15,131.22 13-May-19 19-254 DE GUZMAN, VIVIAN O. MAYHALIGUE ST. BRGY 264 TONDO MANILA - - 218.72 218.72 14-May-19 19-255 ELICITO, MARBEN M. BRGY BAYUGO MEYCAUAYAN BULACAN - - 12,013.68 12,013.68 14-May-19 19-256 SAYNO, RYAN M. BRGY PUTOL BULAC STA MARIA BULACAN - - 3,441.36 3,441.36 16-May-19 19-257 PUNSALANG, MICHAEL A. 221 SICAT ST. BRGY 645 SAN MIGUEL MANILA - - 6,400.84 6,400.84 16-May-19 19-258 AQUINO, NATHALIE B. 1564 SH LOYOLA ST. BRGY 456 SAMPALOC MANILA - - 30,018.70 30,018.70 16-May-19 19-259 MANALO, PRINCESS JOY P. BRGY CABUCO TRECE MARTIREZ CAVITE - - 4,306.74 4,306.74 28-May-19 19-260 BAUTISTA, GAVEN ROSSDALE L. 1064 B. SOLIS, TONDO, MANILA - - 21,245.21 21,245.21 5-May-19 19-261 EMELIA, JENEVEL A. 234 SITIO 6 ST. BRGY CATMON MALABON CITY - - 11,749.87 11,749.87 23-May-19 19-262 MALUBAY, RONALDO S. BRGY GEN. T DE LEON VALENZUELA CITY - - 3,846.41 3,846.41 23-May-19 19-263 LEGASPI, LEOMAR B. BAYBAYON ST. BRGY MALUBAGO CATAYNGAN MASBATE - CITY - 15,272.66 15,272.66 23-May-19 19-264 MANZON JR, FERDINAND G. BRGY GUYO STA MARIA BULACAN - - 16,615.91 16,615.91 22-May-19 19-265 ALLEGO, JAIME S. BLK 10 LOT 24 TERASA SUBD ST. BUHAY NA TUBIG, - IMUS CAVITE - 6,679.27 6,679.27 22-May-19 19-266 DEMAOSA, DIVINAH VIEN C. JUAN LUNA ST. BRGY 59 TONDO MANILA - - 1,102.22 1,102.22 30-May-19 19-267 AGUILAR, SHAMARA MJ S. BRGY APOLONIO SAMSON QUEZON CITY - - 606.30 606.30 30-May-19 19-268 ANIAG, REYNALDO P. 963 S. POLICARPIO ST. BRGY SAN JOSE NAVOTAS CITY - - 2,862.02 2,862.02 30-May-19 19-269 ABIGAN, BEUDICEL E. BRGY 305 STA. CRUZ MANILA - - 5,809.02 5,809.02 30-May-19 19-270 SUTANO, FRENZ JOHN MARK C. TULAONG ST. BRGY STO NINO SABLAYAN OCCIDENTAL - MINDORO - 13,167.93 13,167.93 30-May-19 19-271 SAYSON, JOSHALYN ALEXIE S. 1178 STA MONICA VILL ST. BRGY UGONG VALENZUELA - CITY - 6,151.13 6,151.13 28-May-19 19-272 PEDROSO, SANDY P. BRGY 228 TONDO MANILA - - 6,307.41 6,307.41 28-May-19 19-273 DUCANTE, ANABELE A. BRGY BAHAYANG PAG-ASA IMUS CAVITE - - 10,361.20 10,361.20 12-May-19 19-274 EVANGELIO, EDGARDO V. 1770 MIGUELIN ST. BRGY 487, ZONE 48 SAMPALOC - MANILA - 5,223.38 5,223.38 12-May-19 19-275 BILLONES, ROSENELL G. BRGY J.P LAUREL BULAN SORSOGON - - 11,520.61 11,520.61 12-May-19 19-276 ANTIDO, ARSENIA B. 1ST ST. BRGY TANONG MALABON CITY - - 12,432.37 12,432.37 12-May-19 19-277 ARELLANO, JIA ZEPHYRA B. BLOCK 4 LOT 8 EVERGREEN RECIDENT GREENWHICH - ST. BRGY PULO CABUYAO - LAGUNA 7,863.02 7,863.02 12-May-19 19-278 LISING, NOVERANDO Y. 21 C. MAGSAYSAY ST. BRGY 107 TONDO MANILA - - 5,629.79 5,629.79 12-May-19 19-279 MANANSALA, FORTOSA E. 799 ST. BRGY ILANG ILANG GUIGUINTO BULACAN - - 12,129.70 12,129.70 12-May-19 19-280 RAMIREZ, CELIA S. 245 BAGONG POOK ST. BRGY 49 SAN ANTONIO CAVITE - - 4,086.61 4,086.61 12-May-19 19-281 DIAZ, DANILO D. 1697 LRC COMP. ST. BRGY 310 STA. CRUZ MANILA CITY - - 12,633.11 12,633.11 12-May-19 19-282 TONGCO, MICHELLE Y. BLK5 LOT9 TANGILE ST. BRGY FORTUNE - CITY - 38,703.08 38,703.08 26-Jun-19 19-283 BORJA, LORENZO M. 4540 V. FRANCISCO ST. ST. STA MESA MANILA 871.50 - - 871.50 26-Jun-19 19-284 JOSOL, MANILYN S. 53 VICTORY AVENUE ST. BRGY TATALON QUEZON CITY - - 4,686.53 4,686.53 26-Jun-19 19-285 BUHANGIN, EVELYN EMA G. 2 KALAMANSI COR MAGSAYSAY ST. BRGY 120 TONDO 565.50 MANILA - - 565.50 26-Jun-19 19-286 HERNANDEZ, JOEL M. 1730 IBARRA ST. SAMPALOC MANILA - - 1,133.10 1,133.10 26-Jun-19 19-287 BOTICARIO, CLARINA F. PH.2 ST. BRGY SAN JOSE BASUD CAMARINES NORTE 429.00 - - 429.00 26-Jun-19 19-288 SALVADOR, SHIELA MAE C. 3518 VIGAN ST. BRGY 579 STA. MESA MANILA 78.00 - - 78.00 26-Jun-19 19-289 SALVADOR, SHIELA MAE C. 3518 VIGAN ST. BRGY 579 STA. MESA MANILA - 500.00 - 500.00 26-Jun-19 19-290 BUHANGIN, LUCRESIA G. 2 KALAMANSI COR MAGSAYSAY ST. BRGY 120 TONDO 565.50 MANILA - - 565.50 26-Jun-19 19-291 IBAY, CHRISTIAN REY B. SITIO CULUBASA ST. BRGY ANON FLORIDABLANCA PAMPANGA- - 17,150.83 17,150.83 26-Jun-19 19-292 MINGO, PATROCINO M. BRGY GUIMPINGAN ROMBLON ROMBLON 596.10 - - 596.10 26-Jun-19 19-293 NG, PHILIP S. 1327 VISAYAS ST. BRGY GUADALUPE NUEVO KALAYAAN - AVE. MAKATI 1,080.00 - 1,080.00 26-Jun-19 19-294 AUSAN, SALVE Z. 266-C RECUERDO ST. BRGY 274 BINONDO MANILA - - 1,060.00 1,060.00 26-Jun-19 19-295 DELOS TRINOS, GENALYN D. A. RINOS ST. PROJECT 2 QUEZON CITY 214.50 - - 214.50 26-Jun-19 19-296 ERWA, MA. ISSA FE C. 330 AREA 6 ST. BRGY BOTOCAN 4 QUEZON CITY 806.00 - - 806.00 27-Jun-19 19-297 VALERIO SALLY BRGY 103 TONDO MANILA - - 1,060.00 1,060.00 26-Jun-19 19-298 MARQUEZ, MA. LOUISA H. EVANGELISTA ST. BRGY TALABA II BACOOR CAVITE - - 3,779.40 3,779.40

Page 5 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

25-Jun-19 19-299 ARIVE, JUNIE M. 189 BMBA 2ND ST. 3RD AVENUE ST. BRGY 118 CALOOCAN - CITY - 6,521.78 6,521.78 26-Jun-19 19-300 LOTERTE, MANUEL T. BRGY NONE - 400.00 - 400.00 26-Jun-19 19-301 DIOMAMPO, MARLON P. 3455 J. CRUZ ST., BARRIO OBRERO ST. BRGY 191 TONDO - MANILA - 4,265.25 4,265.25 26-Jun-19 19-302 ANCHORES, MENENCIA C. BRGY LANATAN BALAYAN BATANGAS - 5,100.00 - 5,100.00 26-Jun-19 19-303 DOMINGO, JOSEPHINE S. 129 STOTSENBURG ST. BRGY 67 10TH AVE. CALOOCAN 7,753.20 - - 7,753.20 26-Jun-19 19-304 MENDEZ, ZENY I. BRGY PUNTA LOOC ROMBLON - 9,100.00 - 9,100.00 26-Jun-19 19-305 TUBILLA, WHILHERMINA T. 2474 HMCL RESIDENCE JUAN LUNA ST. GAGALANGIN, - TONDO MANILA - 2,903.60 2,903.60 26-Jun-19 19-306 DE GUZMAN, JOVILYN I. 1723 MAYHALIGUE ST. STA. CRUZ MANILA - 325.00 - 325.00 26-Jun-19 19-307 MALASAGA, FLORENCIO C. 3421 S. DELOS SANTOS ST. BRGY NONE BO. OBRERO 9,198.00 TONDO MANILA - - 9,198.00 26-Jun-19 19-308 AGUIRRE JR, MARCIANO O. PUROK 4 ST. BRGY POBLACION I BASUD CAMARINES 7,753.20 NORTE - - 7,753.20 26-Jun-19 19-309 CEZO, FRANCO III C. 13 E 4TH ST., BBB ST. BRGY MARULAS VALENZUELA - CITY - 247.00 247.00 26-Jun-19 19-310 GONZALO, RANCINE G. 1716 ANTONIO RIVERA ST. BRGY 237 TONDO MANILA - - 1,043.58 1,043.58 26-Jun-19 19-311 SANTOS, RICARDO L. 168 SANCIANGCO ST. BRGY CATMON MALABON CITY - - 1,399.76 1,399.76 26-Jun-19 19-312 DATUKAKA, TIMBAY P. B1, APLAYA, BASECO ST. BRGY 649 PORT AREA MANILA - - 711.04 711.04 26-Jun-19 19-313 CANOZA, ARIANA JANE T. 2701 LICO ST. BRGY 211 TONDO MANILA - - 530.00 530.00 26-Jun-19 19-314 POLICARPIO, WILFRED JOHN C. 327 PACHECO ST. BRGY 67 TONDO MANILA - - 210.00 210.00 26-Jun-19 19-315 BAUTISTA, JASMIN G. 2037 PISTA ST. BRGY 352 STA. CRUZ MANILA - - 1,041.88 1,041.88 26-Jun-19 19-316 EUSTAQUIO, JINKY C. 9863 MC ARTHUR HIGHWAY ST. QUEZON CITY - 8,300.00 - 8,300.00 26-Jun-19 19-317 JACINTO, JAMIL LOURINZ A. 1697 LRC COMPOUND ST. BRGY 310 STA. CRUZ MANILA - - 340.00 340.00 26-Jun-19 19-318 MAGBITANG, RUSSEL S. 1208 TAMBUNTING ST. BRGY 374 STA. CRUZ MANILA - - 1,060.00 1,060.00 26-Jun-19 19-319 SALAGOSTE, MARGIE B. 1061 TORRES BUGALLON ST. BRGY 203 TONDO 1,855.00 MANILA - 740.00 2,595.00 26-Jun-19 19-320 UÑALIVIA, ARJIE L. 1049 P. GUEVARRA ST. BRGY 311 STA. CRUZ MANILA - - 1,277.42 1,277.42 26-Jun-19 19-321 MORALES, JOBIEN M. BLOCK 116 LOT 8 KARANGALAN VILLAGE ST. BRGY 194.60 SAN ISIDRO RIZAL - 974.37 1,168.97 26-Jun-19 19-322 BALIGOD, DOMINGO 313 LIBIS ST. BRGY ZONE 3 SIGNAL VILLAGE TAGUIG - CITY - 2,330.00 2,330.00 26-Jun-19 19-323 SAMBLINGO, JUDY T. 2119 RAXABAGO ST. BRGY 150 TONDO MANILA - - 1,800.00 1,800.00 26-Jun-19 19-324 DE JESUS, ANNE CORINNE 2016 F NARRA ST. BRGY 230 TONDO MANILA - - 5,240.00 5,240.00 26-Jun-19 19-325 PUNZAL, JESSA MYCHA B. 1282 BARCELONA EXT ST. BRGY 47 TONDO MANILA - - 2,350.00 2,350.00 26-Jun-19 19-326 MONTE, DENVER JUN Q. PUROK 2 ST. BRGY DAINE 2 INDANG CAVITE - - 210.00 210.00 26-Jun-19 19-327 BELLEZA, DIO-AN S. 41 CALAVITE ST. BRGY SALVACION LALOMA QUEZON - CITY - 668.76 668.76 27-Jun-19 19-328 DELA CRUZ, RAYMOND O. 753 RICAFORT ST. BRGY 56 TONDO MANILA - - 530.00 530.00 27-Jun-19 19-329 CARDINES, EVELYN S. 620-37 SAN ANDRES ST. BRGY 705 MALATE MANILA - - 1,018.77 1,018.77 27-Jun-19 19-330 MAKALIMBANG , BAI QUIANA A. 565 DELPAN ST. BRGY 286 BINONDO MANILA - - 880.00 880.00 27-Jun-19 19-331 GRACIO, JEMMA ROSE M. 1971 ALMEDA ST. BRGY 351 TONDO MANILA - - 1,050.00 1,050.00 27-Jun-19 19-332 MORALES, ARTURO C. 03 MAGALANG ST. BRGY 109 TONDO MANILA - - 1,710.00 1,710.00 27-Jun-19 19-333 BANDIOLA, MARC ANTHONY 1302 TAYUMAN ST. BRGY 331 STA. CRUZ MANILA - - 210.44 210.44 27-Jun-19 19-334 AVENTAJADO, REBEICA B. BLDG.5, ROOM 1, SAMPAGUITA ST. BRGY TANZA CAVITE - - 313.43 313.43 27-Jun-19 19-335 JUNG, MARY ANNE S. 1634 MILAGROS ST. BRGY 340 STA. CRUZ MANILA - - 1,807.59 1,807.59 27-Jun-19 19-336 CASINO JR, BEN M. 266 SITIO 6 ST. BRGY CATMON MALABON CITY - - 530.00 530.00 27-Jun-19 19-337 CURA, ERNESTO J. 2735 SULU ST. BRGY 377 STA. CRUZ MANILA - - 4,090.82 4,090.82 27-Jun-19 19-338 MANALANG, MARIA LUISA T. 11-C ARNOLD ST. BRGY 55 TONDO MANILA - - 2,710.00 2,710.00 27-Jun-19 19-339 DE JESUS, ARMANDO P. 809 INT ENDAYA ST. BRGY 53 DAGUPAN, TONDO MANILA - - 4,781.82 4,781.82 27-Jun-19 19-340 MUÑOZ, BRIXIE L. 2701 LICO ST. BRGY 211 TONDO MANILA - - 530.00 530.00 27-Jun-19 19-341 MENDOZA, EVELYN F. 1107 ANTIPOLO ST. BRGY 213 TONDO MANILA - 1,350.00 - 1,350.00 27-Jun-19 19-342 MANARANG SR., REGINO V. L10, B5, NORTHVILLE I ST. BRGY BIGNAY VALENZUELA - CITY - 1,201.40 1,201.40 27-Jun-19 19-343 DELA CRUZ J.R., LAUREANO C. LOT 22 BLK. 6 VILLANUEVA ST. BRGY IBABA MALABON - CITY 2,400.00 - 2,400.00 27-Jun-19 19-344 CHANGCO, ESTRELLA M. 2123 H. JUAN LUNA ST ST. BRGY 149 TONDO MANILA 312.00 - - 312.00 27-Jun-19 19-345 NAELGA, RAZELO C. 2812 MENDOZA ST. BRGY 182 TONDO MANILA - - 1,800.00 1,800.00 27-Jun-19 19-346 LIM, RAMON F. 721 C3 ROAD ST. BRGY 124 GRACEPARK CALOOCAN 1,111.90 CITY - - 1,111.90 27-Jun-19 19-347 TEJADA, JOHN CARLO T. 1301 AREA A, GATE 7, PAROLA ST. BRGY 20 TONDO MANILA- - 1,123.40 1,123.40 27-Jun-19 19-348 ESCUETA, JON ETHAN DOMINIC C.1916 MAKATA ST. BRGY 353 STA. CRUZ MANILA - 2,400.00 - 2,400.00 27-Jun-19 19-349 GATUS, RICARDO JR. G. B51 L12 NORTHVILLE 4A ST. BRGY LAMBAKIN MARILAO - BULACAN - 681.58 681.58 27-Jun-19 19-350 ESCUETA, FELICIANA C. 1916 MAKATA ST. BRGY 353 STA. CRUZ MANILA - 2,160.00 - 2,160.00 27-Jun-19 19-351 HERNANDEZ, ROMEO M. 1208 E. QUIRICADA ST. BRGY 253 STA CRUZ MANILA - 1,980.00 - 1,980.00 27-Jun-19 19-352 ELLA, JAYMARK A. 750 SAN LAZARO ST. BRGY 340 STA CRUZ MANILA - 1,530.00 - 1,530.00 27-Jun-19 19-353 GASMEN, KRIS REYNALYN D. 1148 ADELINA ST. BRGY 468 SAMPALOC MANILA - - 1,028.28 1,028.28 27-Jun-19 19-354 MERADOR, MARIA PRISCILIA D. 195 BARRIO PACITA ST. BRGY 95 CALOOCAN CITY 1,345.90 - - 1,345.90 27-Jun-19 19-355 HERNANDEZ, ROMEO M. 1208 E. QUIRICADA ST. BRGY 253 STA CRUZ MANILA 741.00 - - 741.00 27-Jun-19 19-356 GALVEZ, ROBERTO V. 235 LALLANA ST. BRGY 102 TONDO MANILA 1,180.90 - - 1,180.90 27-Jun-19 19-357 SAMONTE, MARIETTA G. 387 LALLANA ST. BRGY 93 TONDO MANILA 1,921.90 - - 1,921.90 27-Jun-19 19-358 TEJADA, JOHN CARLO T. 1301 AREA A, GATE 7, PAROLA ST. BRGY 20 TONDO MANILA- - 2,013.40 2,013.40 27-Jun-19 19-359 MOÑASQUE, EDNA P. ALADIN ST. BRGY 14 CALOOCAN CITY 312.00 - - 312.00

Page 6 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

27-Jun-19 19-360 SANTOS, LOLITO JR. S. 911 M. NAVAL ST. BRGY SIPAC NAVOTAS CITY 741.00 - - 741.00 27-Jun-19 19-361 IMPERIAL, MARCELINO L. 1421 MARISSA ST. BRGY GEN T. DE LEON VALENZUELA 769.45 CITY - - 769.45 27-Jun-19 19-362 ANTONIO, MA. LHIRIELIZ T. BLK 5 LOT 16 MIRANDA VILLE ST. BRGY KALIGAYAHAN - NOVALICHES 2,400.00 QUEZON CITY - 2,400.00 27-Jun-19 19-363 MAGNAYE, LANZ CENNET F. BRGY SANTIAGO STA. MARIA LAGUNA - - 530.00 530.00 27-Jun-19 19-364 SANTOS, PRECY O. 63 BULACAN ST. BRGY 173 TONDO MANILA 562.50 - - 562.50 27-Jun-19 19-365 ASMA, BIANCA C. 428 ESTERO CEGADO ST. BRGY 307 QUIAPO MANILA - 1,200.00 - 1,200.00 27-Jun-19 19-366 LACSINA, MARIA CATTLEYA P. BLK 13 LOT 73 PHASE 2A3 ST. BRGY LONGOS MALABON - CITY 1,500.00 - 1,500.00 27-Jun-19 19-367 KEGE-E, ELMER T. 1578 ALGECERAS ST. BRGY 484 SAMPALOC MANILA 741.00 - - 741.00 27-Jun-19 19-368 CAÑEGA, REBECCA D. ISLA VERDE ST. BRGY BUHAY NA TUBIG IMUS CAVITE - - 3,720.00 3,720.00 27-Jun-19 19-369 PACUMIO, ROBERTO F. BRGY HULUGAN 6 TANZA CAVITE CITY - - 6,280.03 6,280.03 27-Jun-19 19-370 PAGTAKHAN, MARIA AURORA A. CUEVAS COMPOUND ST. BRGY SAN NICOLAS 1 BACOOR 741.00 CAVITE - - 741.00 27-Jun-19 19-371 DANCEL, JAIME G. 2032 A. TOMAS MAPUA ST. BRGY 354 STA. CRUZ MANILA - 990.00 - 990.00 27-Jun-19 19-372 LEONG, ALLAN JOSEL 1038 INT 4 A.MABINI ST MAYPAJO CALOOCAN CITY - - 20,000.00 20,000.00 27-Jun-19 19-373 MANANSALA, ROSALIA T. 2391 HERNANDEZ ST. BRGY 883 STA. ANA MANILA - 1,530.00 - 1,530.00 27-Jun-19 19-374 FEUDO,GRACE MABUHAY ST DASMA CAVITE B19 L5 PH2 7,753.20 - - 7,753.20 1-Jul-19 19-375 LAURON, CAEHL D. 647 EST BMBA, 2ND AVE., ST. BRGY 120 GRACE PARK - CALOOCAN CITY - 2,500.44 2,500.44 1-Jul-19 19-376 FLORES, EVANGELINE R. 1225 B. ALMEDA ST. YUSECO, TONDO MANILA 741.00 - - 741.00 1-Jul-19 19-377 SISON, EMELDA S. 2147 INT TOMAS MAPUA ST. BRGY 358 STA. CRUZ 1,613.65 MANILA - - 1,613.65 1-Jul-19 19-378 MORALES, JOBIEN M. BLOCK 116 LOT 8 KARANGALAN VILLAGE ST. BRGY 194.60 SAN ISIDRO CAINTA RIZAL - - 194.60 1-Jul-19 19-379 SORIANO, REYNALDO V. 17 B MARS ST. BRGY MAPULANG LUPA I LA PIÑAS 741.00 CITY - - 741.00 1-Jul-19 19-380 JONAS, ANITA P. BRGY SITIO BALOYBOY CANDELARIA QUEZON - 11,000.00 - 11,000.00 1-Jul-19 19-381 LOPEZ, ALEX B. ZON 2 ST. BRGY MATAOROC MINALABAC CAMARINES - SUR 5,100.00 - 5,100.00 1-Jul-19 19-382 GOMEZ, FRANCE H. 2188 G. TUAZON ST. BRGY 561 SAMPALOC MANILA - 1,260.00 - 1,260.00 1-Jul-19 19-383 RANIZ, FEDERICO M. AREA 5 SITIO PINALAGAD ST. BRGY MALINTA VALENZUELA - CITY - 418.40 418.40 1-Jul-19 19-384 ZABALLERO, HELEN Z. UPPER4 VALLEY GOLF ST. BRGY SAN JUAN CAINTA RIZAL - - 6,082.25 6,082.25 1-Jul-19 19-385 REYES, ARLENE T. 1352 SULU ST. BRGY 318 STA. CRUZ MANILA - - 4,108.58 4,108.58 1-Jul-19 19-386 ADVINCULA, AMELITA M. 9 TANGILE ST, ST. BRGY MARIKINA 702.00 CITY - - 702.00 1-Jul-19 19-387 Dela Cruz, Marina L. 190-56 ALPHA ST. BRGY NONE BANGKULASI NAVOTAS 565.50 CITY - - 565.50 1-Jul-19 19-388 SAMBLINGO, JUDY T. 2119 RAXABAGO ST. BRGY 150 TONDO MANILA - - 302.18 302.18 1-Jul-19 19-389 DE GUZMAN, NESTOR S. 278 PINAGSABUGAN ST. BRGY LONGOS MALABON 741.00 CITY - - 741.00 1-Jul-19 19-390 BUNAG, FLORENCIA T. 9-C HALCON II ST. BRGY STA. TERESITA QUEZON 741.00 CITY - - 741.00 1-Jul-19 19-391 ARPON, LUIZA M. 539 ESGUERRA ST. BRGY 87, ZONE 7 TONDO MANILA - 325.00 - 325.00 1-Jul-19 19-392 MANGULUBNAN, NELIA L. 163 DIKE ST. BRGY POBLACION BALIWAG BULACAN - 11,000.00 - 11,000.00 1-Jul-19 19-393 BALBIN, ABELARDO H. 1308 QUIRICADA ST. BRGY 253 STA CRUZ MANILA - - 2,364.40 2,364.40 1-Jul-19 19-394 SIOSON, JIMMY M. LIZARDO COMPOUND ST. BRGY MAYAPA CALAMBA LAGUNA- - 2,350.00 2,350.00 1-Jul-19 19-395 FULGAR, CARLITO D. 1215 IBARRA ST. BRGY 514 SAMPALOC MANILA 754.50 - - 754.50 1-Jul-19 19-396 PUNZALAN, FAUSTINO B. BRGY COGONAN NASUGBU BATANGAS - 500.00 - 500.00 1-Jul-19 19-397 BLANCO, JEFF BRIAN A. 1502 TINDALO ST. BRGY 254 TONDO MANILA - - 1,060.00 1,060.00 1-Jul-19 19-398 SANTOS, MARIBEL L. 1038 TAYUMAN ST. BRGY 234 ZONE 22 TONDO MANILA741.00 - - 741.00 1-Jul-19 19-399 POSTRERO SR., ROBERTO M. 310, BLDG, 8 ST. BRGY 101 TONDO MANILA - - 1,060.00 1,060.00 1-Jul-19 19-400 AVANCEÑA, ERLINDA S. 15 MASIKAT ST. BRGY 146 BAGONG BARRIO CALOOCAN 754.50 CITY - - 754.50 1-Jul-19 19-401 YONZAGA, EVELYN D. 69 NARRA ST. BRGY 599 OLD STA. MESA MANILA 754.50 - - 754.50 1-Jul-19 19-402 FAJARDO, ORLAN C. 029 ST. BRGY BANCAL MEYCAUAYAN BULACAN 844.20 - - 844.20 1-Jul-19 19-403 LLAMOSO, RACHAEL R. BLK 48 LOT 39 HARMONY HILLS ST. BRGY LOMA DE - GATO MARILAO BULACAN 325.00 - 325.00 1-Jul-19 19-404 AGNAS, JELETA T. 2601 LA MESA ST. BRGY UGONG VALENZUELA CITY741.00 - - 741.00 1-Jul-19 19-405 QUILINGAN, JULIAN C. 298 SITO 6 ST. BRGY CATMON MALABON CITY - 1,920.00 - 1,920.00 1-Jul-19 19-406 AQUINO, FLORINDA T. 145 PROGRESO ST. BRGY 141 BAGONG BARRIO CALOOCAN 312.00 CITY - - 312.00 1-Jul-19 19-407 DELDIO, DARWIN R. 191 ESTEBAN SITIO HULO ST. BRGY DALANDANAN - VALENZUELA CITY - 1,420.00 1,420.00 1-Jul-19 19-408 BLANZA, MOREINA A. 248 ST. BRGY BUNSUIRAN 3RD PANDI BULACAN - 325.00 - 325.00 1-Jul-19 19-409 NORCIO, EVELYN B. BLK 2 ROW 4 UNIT 527 ST. BRGY 649 TONDO MANILA 754.50 - - 754.50 1-Jul-19 19-410 MEJIA, FABIAN A. BLK 72 LOT 19 NORTHVILLE II B ST. BRGY 171 2,484.00BAGUMBONG CALOOCAN CITY - - 2,484.00 1-Jul-19 19-411 MACAZO, DOMINGO S. 1631 ESTE ST. ST. BRGY 267 TONDO MANILA 1,540.50 - - 1,540.50 1-Jul-19 19-412 ORE, ERLINDA A. 1631 A ESTE ALVAREZ EXT ST. BRGY 267 STA. CRUZ - MANILA 1,800.00 - 1,800.00 1-Jul-19 19-413 VALDEZ, SARAH JEAN A. 1170 LAGUNA ST. BRGY 227 TONDO MANILA - - 11,148.33 11,148.33 1-Jul-19 19-414 QUILINGAN, JULIAN C. 298 SITO 6 ST. BRGY CATMON MALABON CITY 738.00 - - 738.00 1-Jul-19 19-415 LASTIMOSO, MARK STEPHEN BRGY SAPANG DULO TERNATE CAVITE - - 47,284.33 47,284.33 1-Jul-19 19-416 BIHASA, EULOGIO G. 187 J.B SANTOS ST. BRGY TANGOS NAVOTAS CITY - 580.00 - 580.00 1-Jul-19 19-417 ORBE, HEBER P. 1015 ANTIPOLO ST. BRGY 214 TONDO MANILA 2,649.00 - - 2,649.00 1-Jul-19 19-418 HERMITANIO, HAYDEE LIZA L. BLK. 9, LOT 48, BETTER LIVING SUBD. ST. BRGY DON 741.00 BOSCO PARAÑAQUE -CITY - 741.00 1-Jul-19 19-419 CERDEÑA, LILIAN V. 57 QUIRINO BAGONG BARRIO ST. BRGY 116 TONDO 893.00 MANILA - - 893.00 1-Jul-19 19-420 ALABADO, MARJORIE Y. 2838 FELIX HUERTAS ST. BRGY 377 STA. CRUZ MANILA - 1,000.00 - 1,000.00

Page 7 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

1-Jul-19 19-421 ABANCO, GLENN R. 24 ST. BRGY BAYAN-BAYANAN MALABON 565.50 CITY - - 565.50 1-Jul-19 19-422 PANGAN, RIZZA D. 1759 VILLAREAL ST. ST. BRGY 231 TONDO MANILA - 1,680.00 - 1,680.00 1-Jul-19 19-423 DURANO, TERESITA S. 2311 PINOY BALUT ST. BRGY 131 TONDO MANILA - 1,080.00 - 1,080.00 1-Jul-19 19-424 MALLARI, FELINO JR D. 107 ADALIA ST. BRGY 101 10TH AVENUE CALOOCAN 175.50 CITY - - 175.50 1-Jul-19 19-425 ACORDON, FIDEL N. 1265 TAYUMAN ST. BRGY 225 TONDO MANILA - 500.00 - 500.00 1-Jul-19 19-426 KARIM, LETICIA U. 180 GEN. MASCARDO ST. BRGY 144 BAGONG BARRIO 1,111.90 CALOOCAN CITY - - 1,111.90 1-Jul-19 19-427 ROQUE, KOBY RYAN P. DOOR A. RAMBUTAN ST. BRGY STO. NINO PLARIDEL - BULACAN - 8,777.93 8,777.93 1-Jul-19 19-428 MC BROOM, PATROCINIA M. B50, L4, MAYA MAYA ST. BRGY LONGOS MALABON 721.50 - - 721.50 1-Jul-19 19-429 PUNZALAN, FAUSTINO B. BRGY COGONAN NASUGBU BATANGAS - 500.00 - 500.00 1-Jul-19 19-430 GASES, RICHARD D. 3465 CECILIO ST. BRGY BO. OBRERO TONDO MANILA - 325.00 - 325.00 1-Jul-19 19-431 ORTIGAS, LIGAYA B. 8 C DE JESUS ST. BRGY CONCEPCION MALABON CITY - 1,200.00 - 1,200.00 1-Jul-19 19-432 QUIMBO, MERCIL D. 206 MANRIQUE ST. BRGY 412 SAMPALOC MANILA - - 2,608.99 2,608.99 1-Jul-19 19-433 BARCARSE, FELIX G. 839 MATIMYAS COR SUSAN ST. BRGY 525 SAMPALOC - MANILA - 4,156.67 4,156.67 1-Jul-19 19-434 PEREZ JR., ROGELIO P. PH2, B14, L32, ST. BRGY POBLACION 5 GMA CAVITE - - 4,795.03 4,795.03 1-Jul-19 19-435 GONZA, MARINO H. BRGY PALIWAS OBANDO BULACAN - - 65,402.26 65,402.26 1-Jul-19 19-436 OLINDAN, TRINIDAD V. 13 TRIANGLE ST. BRGY LANGGAM SAN PEDRO LAGUNA - - 3,917.68 3,917.68 1-Jul-19 19-437 BAUYA, ELMER T. 91 BLK1, GOZON ST. BRGY TONSUYA MALABON CITY - - 4,250.00 4,250.00 1-Jul-19 19-438 LUCERO, ESTRELLA F. 28 B. BALTAZAR ST. BRGY 70 CALOOCAN CITY - - 1,019.25 1,019.25 1-Jul-19 19-439 DUMABOC, RODEL M. 1161 LA TORRE ST. BRGY 238 TONDO MANILA - - 1,868.98 1,868.98 1-Jul-19 19-440 ROSARIO, SHAWN MICHAEL C. 565 BALDERAMA ST. BRGY 286 BINONDO MANILA - - 2,350.00 2,350.00 1-Jul-19 19-441 DE JESUS, CRISTINE C. ISAGANI ST. BRGY ACASIA MALABON CITY - - 2,350.00 2,350.00 1-Jul-19 19-442 GESTIADA, ZION E. GABRELA ST. BRGY 53 TONDO MANILA - - 2,350.00 2,350.00 1-Jul-19 19-443 BANABAN, JED LAURENCE A. 417 ST. BRGY NBBN NAVOTAS CITY - - 2,122.56 2,122.56 1-Jul-19 19-444 BARRAMEDA, ANGEL IYA 2447 P. GUEVARRA ST. BRGY 364 STA. CRUZ MANILA - - 286.05 286.05 1-Jul-19 19-445 VILLEZA, VIRGINIA B. 492 ST. BRGY 82 TONDO MANILA - - 288.00 288.00 2-Jul-19 19-446 ROMERO, CERELO R. 168 BMBA ST. BRGY 118 3RD AVE.,GRACE PARK, CALOOCAN - CITY - 1,798.30 1,798.30 2-Jul-19 19-447 LIBUNAO, MARK ARISTOTLE V. BRGY CAPTAIN RADO VALENZUELA CITY - - 2,540.00 2,540.00 2-Jul-19 19-448 ENRIQUEZ, RODEL N. 20 BERNARDO ST. BRGY MARIBLUE QUEZON CITY - - 3,023.62 3,023.62 2-Jul-19 19-449 BASQUIÑAS, MICA A. KABIGNAYAN ST. BRGY TATALON QUEZON CITY - - 985.00 985.00 2-Jul-19 19-450 KAHULUGAN, DIOSDADO A. 542 DELGADO ST. BRGY 402 SAMPALOC MANILA 330.55 - - 330.55 2-Jul-19 19-451 RESABAL, LUCY A. DISIPLINA VILLAGE ST. BRGY BIGNAY VALENZUELA - CITY - 3,400.00 3,400.00 2-Jul-19 19-452 MIRANDA, MERCEDES C. 8 TINAGAN ST ST. BRGY SAN JOSE QUEZON CITY - - 3,769.21 3,769.21 2-Jul-19 19-453 ROSALES, BEYONCE AIEN P. PILAR ST. BRGY 198 TONDO MANILA - - 593.45 593.45 2-Jul-19 19-454 GLINOGA, WILLY JEAN T. M. HIZON ST. BRGY 367 STA. CRUZ MANILA - - 5,209.61 5,209.61 2-Jul-19 19-455 SALAVARRIA, OLIVER A. KALIMBAS ST. BRGY 341 STA. CRUZ MANILA - - 685.23 685.23 2-Jul-19 19-456 ROMERO, RAMIR O. BRGY DEVINA DE GRACIA SAN JOSE DEL MONTE BULACAN - - 5,230.00 5,230.00 2-Jul-19 19-457 KIYAWAN, LOLITA D. BLDG. 3, UNIT 44 ROAD 10 TEMPORARY HOUSING 1,729.50 ST. BRGY 105, ZONE 8 TONDO - MANILA - 1,729.50 2-Jul-19 19-458 ELISEO, ELISEO L. #16- A ST. ST. BRGY CORAZON DE JESUS SAN JUAN 1,729.50 CITY - - 1,729.50 2-Jul-19 19-459 AÑONUEVO, CARINA H. 1429 A-TECSON ST. BRGY 209 TONDO MANILA - - 890.00 890.00 2-Jul-19 19-460 MONTE, DENVER JUN Q. PUROK 2 ST. BRGY DAINE 2 INDANG CAVITE - - 3,124.11 3,124.11 2-Jul-19 19-461 CABUANG, LICIE R. 1189 APO CMPD. ST. BRGY UNANG SIGAW BALINTAWAK - QUEZON CITY - 1,405.59 1,405.59 2-Jul-19 19-462 CULANNAY, EMMANUEL A. 87-C QUEZON ST. BRGY 107 TONDO MANILA - 1,200.00 - 1,200.00 2-Jul-19 19-463 BARTOLATA, JHAYNE ROSE P. PUROK 6 DULONG HERNANDEZ ST. BRGY CATMON MALABON- CITY - 3,510.68 3,510.68 2-Jul-19 19-464 CANELA, SHERYL H. BRGY SABIDOG SABTAN BATANES 7,098.00 - - 7,098.00 2-Jul-19 19-465 TORREON, BENCH B. 335 BARRIO MALIGAYA BAGONG ANYO ST. BRGY 118 - 5TH AVE. CALOOCAN - CITY 210.00 210.00 2-Jul-19 19-466 AQUINO, JOSEPHINE R. 314 BUKID ST. BRGY MATUNGAO BULACAN BULACAN - 2,400.00 - 2,400.00 2-Jul-19 19-467 SEGUBRE, ROMEO D. BLK30 LOT5 GEN ORDONEZ ST. ST. BRGY CONCEPCION 754.50 MARIKINA HEIGHT - MARIKINA CITY - 754.50 2-Jul-19 19-468 LUMAGA, CHERYNEL D. 110 GUMAMELA EXT ST. BRGY GEN T. DE LEON VALENZUELA - CITY 500.00 - 500.00 2-Jul-19 19-469 SIMBAJON, RICO M. 076 NATIONAL RD ST. BRGY DAMPOL 1ST PULILAN - BULACAN 8,300.00 - 8,300.00 2-Jul-19 19-470 PASCUIN, LORENZ ANGELO B. 003 KABAGONG TAUHAN ST. BRGY GULOD NOVALICHES - QUEZON CITY 1,500.00 - 1,500.00 2-Jul-19 19-471 MONTES, EMILY S. BLK. 3 KADIMA ST. BRGY TONSUYA LETRE MALABON - CITY - 4,320.37 4,320.37 2-Jul-19 19-472 MANTILLA, DIONICIA N. 1567 F. TUVERA ST. BRGY 254 STA. CRUZ MANILA 427.50 - - 427.50 2-Jul-19 19-473 MAGALLANES, MARIFE B. 4143 BENISSA GARDEN VILL. ST. BRGY KALIGAYAHAN 6,942.00 NOE QUEZON CITY - - 6,942.00 2-Jul-19 19-474 DRIO, JEAFREE B. 806 ALEX ST. BRGY 529 SAMPALOC MANILA - - 530.00 530.00 2-Jul-19 19-475 CORTEZ, ANDRES M. 1300 ACAPITA ST ST. BRGY GEN. T. DE LEON VALENZUELA 3,094.50 CITY - - 3,094.50 2-Jul-19 19-476 GARCIA, FLORENA D. 1610 A. FELIX HUERTAS ST. BRGY 340 STA. CRUZ MANILA - 8,300.00 - 8,300.00 2-Jul-19 19-477 Heruela, Elnora R. 75 ARANETA AVE ST. BRGY POTRERO MALABON 956.95 CITY - - 956.95 2-Jul-19 19-478 BAES, JULIO C. VITAS ST. BRGY 106, ZONE 10 TONDO MANILA 4,301.49 4,000.00 - 8,301.49 2-Jul-19 19-479 FENANDEZ, ROBERTO O. 130 PROGRESO ST. BRGY 143 BAGONG BARRIO CALOOCAN - CITY 1,080.00 - 1,080.00 2-Jul-19 19-480 ALCANTARA, JOSE P. 7 BAGONG BUHAY ST. BRGY BACLARAN PARAÑAQUE - CITY - 1,713.58 1,713.58 2-Jul-19 19-481 HERMENEGILDO, ARSENIA L. 011 DON ST. BRGY MAYSAN VALENZUELA CITY - 2,400.00 - 2,400.00

Page 8 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2-Jul-19 19-482 ESPLANADA, LARA L. 228 PAGHANAPIN ST. BRGY 30, ZONE 2 TONDO MANILA - - 1,340.79 1,340.79 2-Jul-19 19-483 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY PROJECT - 4 QUEZON 1,200.00CITY - 1,200.00 2-Jul-19 19-484 DONDOYANO, RICARIDO D. 791 MCR APARTMENT ST. BRGY BAGUMBONG 1,540.50DULO CALOOCAN CITY - - 1,540.50 2-Jul-19 19-485 RUBIO, CEDRICK R. 1007 G. YUSECO ST. BRGY 221, ZONE 21 TONDO MANILA - - 302.97 302.97 2-Jul-19 19-486 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY PROJECT - 4 QUEZON 5,100.00CITY - 5,100.00 2-Jul-19 19-487 VALMORES, NEIL C. 3455 G. SANTIAGO ST. BRGY 190, ZONE 17 BO. OBRERO, - TONDO MANILA - 1,195.00 1,195.00 2-Jul-19 19-488 CRUZ, CHARLES EDWARD A. 1681 INT 11, F VARONA ST. BRGY 79 TONDO MANILA - - 530.00 530.00 2-Jul-19 19-489 Heruela, Fidel R. 75 ARANETA AVE ST. BRGY POTRERO MALABON 702.00 CITY - - 702.00 2-Jul-19 19-490 SEDILLO, JOSELYN T. 1577 G ARANETA AVE ST. BRGY MANREZA QUEZON 3,324.00 CITY - - 3,324.00 2-Jul-19 19-491 DAYAO, ANNICA JOY B. 2629 D. INT. 3 DAGUPAN ST. BRGY 164 TONDO MANILA - - 3,010.00 3,010.00 2-Jul-19 19-492 ARTIL, MERCEDES V. BLK 17 BASECO PORT AREA ST. BRGY 649 MANILA 565.50 - - 565.50 2-Jul-19 19-493 RUADO, RUDY D. 287 MAHAGA ST. BRGY MALINTA PINALAGAD VALENZUELA - 4,500.00 - 4,500.00 2-Jul-19 19-494 TURGO, FERDINAND SR A. 2708 LEAGRDA ST. BRGY 410 SAMPALOC MANILA - - 2,303.37 2,303.37 2-Jul-19 19-495 BATAYCAN, MANUEL M. 462 M. HIZON STREET 10TH AVE. ST. BRGY 63 CALOOCAN - CITY 16,200.00 - 16,200.00 2-Jul-19 19-496 URBANO, APOLINARIO R. B3 L24 TANDANG MANANG ST. BRGY PARADA VALENZUELA 702.00 CITY - - 702.00 2-Jul-19 19-497 LOSITO, ZINAIDA R. 2715 MOLAVE SOLIS ST. BRGY 204 TONDO MANILA 154.10 - - 154.10 2-Jul-19 19-498 JAIME, JAIME R. B13, L10, PEACH ST. BRGY PULANG LUPA I CASIMIRO 1,047.00 II LAS PIÑAS - - 1,047.00 2-Jul-19 19-499 VILLAMOR, JEZREEL L. BLK. 10 LOT 29 NORTHVILLE 2 ST. BRGY BIGNAY VALENZUELA - CITY - 530.00 530.00 2-Jul-19 19-500 PAMINTUAN, ROWENA C. BALMOCINA ST. BRGY PINAOD SAN ILDEFONSO BULACAN - 1,200.00 - 1,200.00 2-Jul-19 19-501 DE VENECIA, ERNESTO G. BLK 11 LOT 55 PH 6 ACM WOODSTUCK HOMES ST. BRGY - ALAPAN 1-A IMUS - CAVITE CITY 21,221.80 21,221.80 2-Jul-19 19-502 MONCELLER, ADELFA S. 3 BERNADETTE ST. BRGY HULONG DUHAT GABRIEL - SUBD. II MALABON 1,200.00 CITY - 1,200.00 2-Jul-19 19-503 MINGO, PATROCINO M. BRGY GUIMPINGAN ROMBLON ROMBLON 596.10 - - 596.10 2-Jul-19 19-504 DAVID, TERESITA L. 2301 MALAYA ST., BALUT ST. BRGY 124 TONDO MANILA245.10 - - 245.10 2-Jul-19 19-505 FERNANDO, ROBERT N. 427 NICODEMUS ST. BRGY 67, ZONE 6 TONDO MANILA - - 1,060.00 1,060.00 2-Jul-19 19-506 ZAPANTA, RENATO D. FREEDOM VILL ST. BRGY BULCANA SASAHAN NAIC 754.50 CAVITE - - 754.50 2-Jul-19 19-507 ZASPA, MARIA SHIRLEY G. 324 CARNATION ST. BRGY NBBS NAVOTAS CITY - - 5,040.47 5,040.47 2-Jul-19 19-508 ABARRACOSO, MARICEL G. 420 R. DOMINGO ST ST. BRGY NAVOTAS - CITY 1,200.00 - 1,200.00 2-Jul-19 19-509 COMETA, VICTOR B. 105 SAN PEDRO ST. BRGY 146 TONDO MANILA - - 1,006.46 1,006.46 2-Jul-19 19-510 ALINTON, DANILO M. 933 MARIA LUISA ST. BRGY 567 SAMPALOC MANILA - 500.00 - 500.00 2-Jul-19 19-511 MAPANAO, ELNA R. 358 C. CORDERO ST. BRGY 67 10TH AVENUE CALOOCAN - CITY 325.00 - 325.00 2-Jul-19 19-512 MR. X A.K.A ERICO AQUINO, BRGY NONE - - 1,862.00 1,862.00 2-Jul-19 19-513 LAGAHIT, BERNADETTE R. 753 A. INT.45 RAXABAGO ST. BRGY 160 TONDO MANILA - 1,200.00 - 1,200.00 2-Jul-19 19-514 BAYOG, RHEA G. 134 MILTA ALLEY ST. BRGY 152 BAGONG BARRIO CALOOCAN - CITY - 1,426.92 1,426.92 2-Jul-19 19-515 PALACIO, RONALDO G. 445 DE JESUS ST. BRGY 131 BAGONG BARRIO CALAOOCAN 754.50 CITY - - 754.50 2-Jul-19 19-516 AGDOL, CRISPIN A. 924 NEW ANTIPOLO ST. BRGY 27, ZONE 20 TONDO 1,729.50 MANILA - - 1,729.50 2-Jul-19 19-517 MEDALLON, BENIGNA EDNA A. BLOCK 2 LOT 42 PERPETUAL VILLAGE 8 ST. BRGY 1,422.00 HABAY 1 BACOOR CAVITE - - 1,422.00 2-Jul-19 19-518 AMPONIN, JULIANA JUDITH P. SUTER ST. BRGY NONE STA. ANA MANILA 1,695.00 - - 1,695.00 2-Jul-19 19-519 GENTEROLA, ZUENA G. BRGY MOLINO VI BACOOR CAVITE 6,648.00 - - 6,648.00 2-Jul-19 19-520 PEPITO, MICAH M. 6 PAGATAAS ST. BRGY MANRESA QUEZON CITY 272.55 - - 272.55 2-Jul-19 19-521 DIOLOLA, ARMAN C. 809 PILAPIL ST. BRGY 51 TONDO MANILA - - 3,447.19 3,447.19 2-Jul-19 19-522 REYES, BENJAMIN C. 201 JUAN G. REYES ST. BRGY VALENZUELA 1,027.50 CITY - - 1,027.50 2-Jul-19 19-523 MAGBIRAY, CONCORDIA P. 966 M. NAVAL ST. BRGY SAN JOSE NAVOTAS CITY - 4,800.00 - 4,800.00 2-Jul-19 19-524 FARMIS, URSULO A. 230 MAGSAYSAY ST. BRGY 112 TONDO MANILA 1,729.50 - - 1,729.50 2-Jul-19 19-525 SANTOS, GINA R. BLK8 LOT7 HITO ST. BRGY LONGOS DAGAT DAGATAN - MALABON CITY - 15,253.76 15,253.76 2-Jul-19 19-526 TISOY, REYNALDA R. 10 PINEAPPLE ROAD ST. BRGY POTRERO MALABON - CITY 130.00 - 130.00 2-Jul-19 19-527 ESCOVILLA, ANALYN C. STA RITA NORTH TALA ST. BRGY 188 CALOOCAN CITY - - 3,104.44 3,104.44 2-Jul-19 19-528 ATUTUBO, ROLANDO T. 1003 ARLEGUI ST. BRGY 387 QUIAPO MANILA 234.00 - - 234.00 2-Jul-19 19-529 DELA GUARDIA, EMELITA R. 057 ULANGO ST. TANAUAN BATANGAS - - 5,652.65 5,652.65 2-Jul-19 19-530 BARDAJE, ELLA MAE M. 0637 2ND AVE. ST. BRGY 120 GRACE PARK CALOOCAN 194.60 CITY - - 194.60 2-Jul-19 19-531 ABAINZA, MARITES M. 10 ALPHINE ALLEY PANGAKO ST. BRGY 151 BAGONG - BARRIO CALOOCAN CITY- 10,264.11 10,264.11 2-Jul-19 19-532 SIMBILLO, AMEIR SERAPHIM V. 830 NICODEMUS ST. BRGY 51 TONDO MANILA - - 2,164.49 2,164.49 2-Jul-19 19-533 BALLESTEROS, JENNIFER E. 2016 MOLAVE ST. BRGY 221 TONDO MANILA - - 1,685.00 1,685.00 2-Jul-19 19-534 BORAIS, JOANA P. C-5 ROAD ST. BRGY SITIO MALIWANAG TAGUIG CITY - - 806.82 806.82 2-Jul-19 19-535 BRIONES, JANICE N. PUROK 4 VILLA YNARES ST. BRGY MAYAMOT ANTIPOLO - CITY RIZAL - 1,325.00 1,325.00 2-Jul-19 19-536 NATIVIDAD, EVANGELINE R. 452 ST. BRGY BUNGGO CALAMBA CITY LAGUNA - - 2,880.00 2,880.00 2-Jul-19 19-537 ROM, MICHELLE A. 118 BMBA ST. BRGY 118 3RD AVENUE CALOOCAN CITY - - 180.00 180.00 2-Jul-19 19-538 MARCOS, JOSHABEL D. 94-C PALAWAN ST. BRGY BAGONG PAG-ASA QUEZON 2,233.50 CITY - - 2,233.50 3-Jul-19 19-539 SIAPNO, ARL KENDRA B. 1912 PERFECTO ST., TAYUMAN ST. BRGY 156 TONDO - MANILA - 2,350.00 2,350.00 3-Jul-19 19-540 ORTUZAR, MICHELLE Z. PH2 BLK8 LOT12 ST. BRGY PITUGO NORZAGARAY 420.00 BULACAN - - 420.00 3-Jul-19 19-541 OLID, MARK JOHN PAUL J. 27 ZAPOTE ST. BRGY 132 BAGONG BARRIO CALOOCAN - CITY - 3,863.45 3,863.45 2-Jul-19 19-542 PACIENCIA, NIEVA V. BLOCK 30 LOT 56 PHASE 2 AREA 1 ST. BRGY NBBS DAGAT-DAGATAN - NAVOTAS - CITY 2,350.00 2,350.00

Page 9 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

3-Jul-19 19-543 PANTORILLO, ALMIRA G. 1255 VILLARUEL ST. BRGY 256 TONDO MANILA - - 663.38 663.38 3-Jul-19 19-544 CARDOS, JULIUS C. BUILDING 18 UNIT 6 SMOKEY MOUNTAIN, BALUT ST. - BRGY 129 TONDO MANILA - 1,780.00 1,780.00 3-Jul-19 19-545 BOLIVAL, MINERVA A. 250 M. H. DEL PILAR ST. BRGY 110 7TH AVENUE CALOOCAN - CITY - 4,186.12 4,186.12 3-Jul-19 19-546 BALUYOT, RAMIL D. 1210 MANGGAHAN, PILILIA ST. BRGY NONE TANAY RIZAL- - 2,350.00 2,350.00 3-Jul-19 19-547 REYES, ASUNCION V. 1005 A. F YUSECO ST. BRGY 231 TONDO MANILA - 2,940.00 - 2,940.00 3-Jul-19 19-548 MAALA, ROMEO C. 1103 ST. BRGY PALTOC DEL MONTE AVE. QUEZON 1,339.15 CITY - - 1,339.15 3-Jul-19 19-549 HERNADEZ, JENE T. 3390 G.SANTIAGO ST. BRGY 188 BARRIO OBRERO,TONDO 754.50 MANILA - - 754.50 3-Jul-19 19-550 LEYTE, LUCIANA JADE B. PHASE 2 BLK 14 LOT 5 BEVERLY HOMES ST. BRGY 194.60 PRENZA II MARILAO BULACAN - - 194.60 3-Jul-19 19-551 TIGBAWAN, MARK BLK 9 LOT 9 BASECO COMP. ST. BRGY 649 MANILA - - 253.19 253.19 3-Jul-19 19-552 ALBERTO, FREDERICK G. 330 N. DECASTRO BAGONG BARRIO ST. BRGY 144 CALOOCAN - CITY - 1,277.92 1,277.92 3-Jul-19 19-553 PADERNAL, HERNANDO P. BLDG. 27, UNIT 123, KATUPARAN ST. BRGY 101 TONDO 702.00 MANILA - - 702.00 3-Jul-19 19-554 SAMONTE, MARIETTA G. 387 LALLANA ST. BRGY 93 TONDO MANILA 832.50 - - 832.50 3-Jul-19 19-555 GALVEZ, ROBERTO V. 235 LALLANA ST. BRGY 102 TONDO MANILA 823.50 - - 823.50 3-Jul-19 19-556 MAGDARAOG, SALVADOR B. 194 ORIOLE ST., SITIO VETERANS ST. BRGY BAGONG 754.50 SILANGAN QUEZON CITY- - 754.50 3-Jul-19 19-557 CAMPILLO, PACITA D. BLK. 39 LOT 9 PHASE 3 F-1 CAPAC ST. BRGY 12 DAGAT- - DAGATAN CALOOCAN 1,200.00 CITY - 1,200.00 1-Jul-19 19-558 MARBAN ERNESTO VALENZUELA CITY 204.75 - - 204.75 3-Jul-19 19-559 CRUZ, MA. NENITA S. BLK. 10 LOT 10 AMANDAVILLE ST. BRGY MABALASBALAS 565.50 SAN RAFAEL BULACAN - - 565.50 3-Jul-19 19-560 LABINA, TERESITA D. 224 STO.DOMINGO ST. BRGY QUEZON 910.50 CITY - - 910.50 3-Jul-19 19-561 AGUILAR, ELENA F. BLK 6 LOT 44 MAGSAYSAY ST. BRGY SAN AGUSTIN 565.50 MALABON CITY - - 565.50 3-Jul-19 19-562 HALOC, ARLAN RC-2 ST. BRGY CITRUS SAPANG PALAY BULACAN - - 1,282.30 1,282.30 3-Jul-19 19-563 ALATA, CONCHITA D. BRGY GUYO LAS NAVAS SAMAR 1,077.60 - - 1,077.60 3-Jul-19 19-564 VALDEAVILLA, JOSEPHINE D. B 13 L35 ST. BRGY KAYPIAN SJDM BULACAN - 130.00 - 130.00 3-Jul-19 19-565 YABUT, LILIBETH L. 47 SILVER ST. BRGY SAN BARTOLOME QUEZON CITY296.50 - - 296.50 3-Jul-19 19-566 TAPAYA, JOHN MARK A. 7 GABRIEL ST. BRGY HULONG DUHAT MALABON CITY - - 530.00 530.00 3-Jul-19 19-567 TACBALAN, LYDIA PH 5 PKG5 BLK 18 LOT 19 ST. 1,509.00 CALOOCAN CITY - - 1,509.00 3-Jul-19 19-568 ABETONG, ROGELIO A. LOT 15 BLK 42 TIERRA GRANDE VILL ST. BRGY MANGGAHAN - GENERAL TRIAS - CAVITE 2,267.27 2,267.27 3-Jul-19 19-569 PANGANIBAN, CORAZON D. 0682 ST. BRGY SAN ISLAN SR. HAGONOY BULACAN 7,098.00 - - 7,098.00 3-Jul-19 19-570 ADAO, ERICA V. 1268 DINALUPIHAN, MANUGUIT ST. BRGY 206 TONDO - MANILA - 6,030.00 6,030.00 3-Jul-19 19-571 BAYLON, LAWRENCE F. 76 MA. CLARA 3RD AVE. ST. BRGY 120 CALOOCAN CITY - - 1,060.00 1,060.00 3-Jul-19 19-572 LOPEZ, ALEX B. ZON 2 ST. BRGY MATAOROC MINALABAC CAMARINES - SUR 1,200.00 - 1,200.00 3-Jul-19 19-573 RUBIO, NELVIN A. 20 E. ROD ST. BRGY DON MANUEL QUEZON CITY - 1,200.00 - 1,200.00 3-Jul-19 19-574 SALVANERA, RUBEN A. B155 L2 ST. BRGY CENTRAL BICUTANM TAGUIG 1,540.50 CITY - - 1,540.50 3-Jul-19 19-575 CONSTANTINO, MIKEE LYN O. LOT 42, ROAD 19, PHASE 3 ST. BRGY BAGONG NAYON - ANTIPOLO RIZAL 1,200.00 - 1,200.00 3-Jul-19 19-576 VELASCO, MARITESS A. 9 LIWAYWAY ST. ST. BRGY ACACIA MALABON CITY - 17,000.00 - 17,000.00 3-Jul-19 19-577 CRUZ, JOSE R. LOT 10 BLK 10 AMANDA VILLE SUBD ST. BRGY MABALASBALAS 565.50 SAN RAFAEL - BULACAN - 565.50 3-Jul-19 19-578 GUSTILO, NOLI B. 300 D BASAN ST. BRGY 384 QUIAPO MANILA - - 168.91 168.91 3-Jul-19 19-579 TORRES, MARY ANN G. P6 ST. BRGY SAN ISIDRO HAGONOY BULACAN - 20,000.00 - 20,000.00 3-Jul-19 19-580 YSAO, MARIA CRISTINA A. BLOCK 8 LOT 17 PH 1 AREA 14 ST. BRGY SAN RAFAEL - 1 SAN JOSE DEL 10,500.00 MONTE BULACAN - 10,500.00 3-Jul-19 19-581 HICAP, DORINA M. PHASE 1 PACKAGE 3 LOT 8 BLK 51 ST. BRGY BAGONG - SILANG CALOOCAN 1,200.00 CITY - 1,200.00 3-Jul-19 19-582 Ramos, Severo G. 87 LACSON ST. ST. BRGY 42 TONDO MANILA 7,098.00 - - 7,098.00 3-Jul-19 19-583 DAVID, EDUARDO D. 508 PITONG GATANG ST. BRGY 76 TONDO MANILA - 250.00 - 250.00 1-Jul-19 19-584 ALOLOD, RENE M. 1381 BAMBANG ST. BRGY 265 TONDO MANILA - - 2,731.29 2,731.29 1-Jul-19 19-585 GUEVARRA, DAISY M. 742 E. BENITA ST. BRGY 185 GAGALANGIN, TONDO -MANILA - 1,419.39 1,419.39 1-Jul-19 19-586 SANTIAGO, PATRICIA MAY M. 1240 LAGUNA ST. BRGY 224 TONDO MANILA - - 859.50 859.50 1-Jul-19 19-587 JARAMILLO, ROCHELLE M. 1038 QUEZON BLVD. ST. BRGY 433 SAMPALOC MANILA - - 1,931.12 1,931.12 1-Jul-19 19-588 INOCENCIO, DANILO N. 1051 CONCEPCION AGUILA ST. BRGY 388 QUIAPO MANILA - - 712.00 712.00 1-Jul-19 19-589 SEGUNDO, REYMOND 738 G. ANTIPOLO ST. BRGY 349 STA. CRUZ MANILA - - 389.50 389.50 1-Jul-19 19-590 PASAGUI, PRINCESS JHASMINE B. 001 AREA A ST. BRGY 20 PAROLA, TONDO MANILA - - 4,700.00 4,700.00 1-Jul-19 19-591 TAPAR, EDGAR B. 63 KASIYAHAN ST. BRGY HOLY SPIRIT QUEZON CITY - - 923.39 923.39 3-Jul-19 19-592 BECERRO, ZHEDRICK M. 118 GEN. MALVAR EXT BAGONG BARRIO ST. BRGY 143 - CALOOCAN CITY - 530.00 530.00 1-Jul-19 19-593 YAGYAGAN, MICHELLE D. BLDG17 UNIT108 PERMANENT HOUSING ST. BRGY 128 - BALUT, TONDO MANILA - 973.19 973.19 1-Jul-19 19-594 ROSARIO, SHAWN MICHAEL C. 565 BALDERAMA ST. BRGY 286 BINONDO MANILA - - 981.39 981.39 1-Jul-19 19-595 GUERRA, DANNY JEROME SITIO VETERANS ST. BRGY QUEZON - CITY - 1,119.12 1,119.12 1-Jul-19 19-596 DIONISIO, BELEN B. A DE CASTRO ST. BRGY MALINTA VALENZUELA CITY - - 1,766.00 1,766.00 1-Jul-19 19-597 NOVELAS, OLIVIA A. 539 ESGUERRA ST. BRGY 87 TONDO MANILA - - 1,100.00 1,100.00 1-Jul-19 19-598 DE LEON, IVAN M. LEONOR RIVERA ST. BRGY NONE STA. CRUZ MANILA - - 3,070.00 3,070.00 1-Jul-19 19-599 DADO, MAYLIE REYANN A. 295 PASTOR ST. BRGY 143 BALUT, TONDO MANILA - - 3,370.00 3,370.00 1-Jul-19 19-600 TOLENTINO, LUCIO E. BRGY BARIGON AGONCILLO BATANGAS - - 1,659.51 1,659.51 1-Jul-19 19-601 BENITEZ, DOLORES S. 1139 INT 24, B VARGAS ST. BRGY 216 TONDO MANILA - - 1,880.00 1,880.00 3-Jul-19 19-602 DE GUZMAN, JOVILYN I. 1723 MAYHALIGUE ST. STA. CRUZ MANILA 194.60 - - 194.60 3-Jul-19 19-603 PASCUIN, LORENZ ANGELO B. 003 KABAGONG TAUHAN ST. BRGY GULOD NOVALICHES - QUEZON CITY 325.00 - 325.00

Page 10 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

3-Jul-19 19-604 RETUTAR, NENITA S. B5 L33 VILLE DESOLEIL ST. BRGY LANGKAAN I 4,563.00DASMARIÑAS CAVITE - - 4,563.00 1-Jul-19 19-605 BRONCANO, MARIA MORENA N. BLOCK 23 MARTINEZ ST., WELFAREVILLE COMPOUND - ST. BRGY ADDITION - HILLS 60,477.73 CITY 60,477.73 3-Jul-19 19-606 DAVID, REMELY P. 1742 TINDALO ST. BRGY 2 TONDO MANILA - - 16,686.18 16,686.18 3-Jul-19 19-607 RIVERA, JOSEPHINE B. B 14 LOT 2 FIESTA SOUTH ST. BRGY SALITAN II DASMARIÑAS - CAVITE 11,000.00 - 11,000.00 1-Jul-19 19-608 BAYAGOSA, CONCEPCION C. BRGY BUENAVISTA USON MASBATE - - 5,624.46 5,624.46 1-Jul-19 19-609 PINEDA, FRANCE NOEL P. 3145 PILAR ST. ST. BRGY 198 TONDO MANILA - - 92,882.52 92,882.52 1-Jul-19 19-610 CUNANAN, FLAVIANA KAY ANLONG ST. BRGY NONE CALAMBA LAGUNA - - 11,869.32 11,869.32 3-Jul-19 19-611 AFRICA, ANGELINA B. 1975 H. ST. JUDE KATAMANAN ST. BRGY 222 TONDO - MANILA 3,420.00 - 3,420.00 3-Jul-19 19-612 CONCEPCION, LYZA D. B2 ROAD 2HABITAT BASECO ST. BRGY 649 TONDO MANILA - - 4,180.00 4,180.00 1-Jul-19 19-613 AMOGAWIN, ENRIQUE B. 42 F. REYES ST. ST. BRGY 21 CARIDAD CAVITE CITY - - 99,418.38 99,418.38 1-Jul-19 19-614 RIAGA, HANNA KATE L. MARIA CLARA, 4TH AVE JOSEFINA ST. BRGY 119 CALOOCAN - CITY - 1,157.05 1,157.05 1-Jul-19 19-615 GARCIA, ROGER A. PUROK 6 ST. BRGY IBABA STA. ROSA LAGUNA - - 1,394.42 1,394.42 3-Jul-19 19-616 CANO, LUTGARDA JANE C. 2629 INT 32 DAGUPAN EXT ST. BRGY 163 TONDO 263.55 MANILA - - 263.55 3-Jul-19 19-617 PAGALA, WALTER R. 1097 B3 TAYABAS ST. BRGY 231 TONDO MANILA 36.40 - - 36.40 3-Jul-19 19-618 PASCUA, JHON DAVE S. BRGY 152 TONDO MANILA - 1,680.00 - 1,680.00 3-Jul-19 19-619 MAHINAY, ALIAH FAITH B. B2 L20 TUPDA VILLA SANGANDAAN ST. BRGY 8 CALOOCAN - CITY - 3,070.00 3,070.00 3-Jul-19 19-620 DELA CRUZ , ROGER H. 826 SEVERINO ST. BRGY 313, ZONE 31 STA. CRUZ 1,066.15 MANILA - - 1,066.15 3-Jul-19 19-621 UMAGAT, FLORANTE S. 1457 FUGOSO ST. BRGY 330 STA CRUZ MANILA - - 731.12 731.12 3-Jul-19 19-622 BUCTOT, CHRISTINE JOY V. APLAYA ST. BRGY DAANG AMAYA 7 TANZA CAVITE - - 567.07 567.07 3-Jul-19 19-623 FILLABRAS, JACQUELINE R. BRGY MULAWIN TANZA CAVITE - - 4,616.56 4,616.56 3-Jul-19 19-624 PABATANG, LEOGENE B. 0132 C.P GARCIA BO. MAGSAYSAY ST. BRGY 116 TONDO - MANILA - 890.00 890.00 3-Jul-19 19-625 DELA CRUZ, KIAN ALIE A. BRGY 110 TONDO MANILA - - 2,326.40 2,326.40 3-Jul-19 19-626 SARMIENTO, ROSEMARIE A. 006 ROXAS COMPOUND, DAMONG MALIIT ST. BRGY -NAGKAISANG NAYON -NOVALICHES QUEZON 1,683.91 CITY 1,683.91 3-Jul-19 19-627 SORIANO, FERNANDO III P. 1013 NEW ANTIPOLO ST. BRGY 217 TONDO MANILA - - 1,590.00 1,590.00 3-Jul-19 19-628 SANTOS, PRINCESS DIANA S. 0027 AC MOLINA ST. BRGY VENTERIALES VALENZUELA - CITY - 530.00 530.00 3-Jul-19 19-629 SALVIEJO, NEDDIE T. PHASE 2 ST. BRGY MANUYO II LAS PIÑAS CITY - - 3,027.82 3,027.82 3-Jul-19 19-630 RUFO, CRISANTO M. RIVERSIDE ST. ST. BRGY BUENA TUBIG IMUS CAVITE - - 576.02 576.02 3-Jul-19 19-631 PARIENTE, PAUL VINCENT L. BLK 8B LOT11 PH3 PAMPANO ST. BRGY LONGOS MALABON - CITY - 1,060.00 1,060.00 3-Jul-19 19-632 ZABAT, CLAIRE CLOE A. BLK 12, LOT 23, CHESA ST ST. BRGY 77 TONDO MANILA - - 7,836.25 7,836.25 3-Jul-19 19-633 PIANG, SHIRELYN T. 167 RUBY ST. BRGY 122 TONDO MANILA - - 5,994.08 5,994.08 3-Jul-19 19-634 LACANILAO, FELIZARDO S. 126 MALOLOS AVE ST. BRGY 154 CALOOCAN CITY 1,856.30 - 360.00 2,216.30 3-Jul-19 19-635 BORNASAL, JUNJUN M. 44 BATAY ST. ST. BRGY KAUNLARAN CUBAO QUEZON - CITY - 22,658.25 22,658.25 3-Jul-19 19-636 ABANCO, GLENDALE C. A-1 24 KATIPUNAN ST. BRGY BAYAN-BAYANAN MALABON - CITY - 103.04 103.04 3-Jul-19 19-637 BASMAYOR, ARLENE D. 3145 INT. 65 PILAR ST., MANUGUIT ST. BRGY 198 TONDO - MANILA - 288.00 288.00 2-Jul-19 19-638 KATIGBAC, ARTURO L. 074 ST. BRGY POBLACION ROSARIO BATANGAS 136.50 - - 136.50 3-Jul-19 19-639 AGUSTIN, JOLINA A. 2247 F. VARONA ST. BRGY 97 TONDO MANILA - - 530.00 530.00 2-Jul-19 19-640 STA. RINALA, LIEZLE U. 071 A. SAN AGUSTIN ST. MALABON CITY - 1,500.00 - 1,500.00 2-Jul-19 19-641 DAGUINOD, ANTONIO U. VILLA FATIMA ST. BRGY BUCANDALA IV IMUS, CAVITE 344.95 - - 344.95 3-Jul-19 19-642 MANUBEN, BRYAN E. 406 BLDG. -C STA. FE ST. ST. BRGY 118 RAWIS, TONDO - MANILA - 1,590.00 1,590.00 3-Jul-19 19-643 MEDINA, BRENDA C. 273 NADURATA ST. BRGY 66 10TH AVE. CALOOCAN - CITY - 260.00 260.00 3-Jul-19 19-644 GALANG, RYZA MAE P. 2628 GAMBAN, CABRERA ST. BRGY 136 PASAY CITY 455.35 - - 455.35 2-Jul-19 19-645 LACAP, HILARIA P. 1436 B OROQUIETA ST. BRGY 320, ZONE 32 STA. CRUZ - MANILA 250.00 - 250.00 3-Jul-19 19-646 MAGNO, EDISON E. B6, L18, CARNATION ST., VILLA MAGDALENA ST. 754.50 BRGY 172 CAMARIN CALOOCAN - CITY - 754.50 3-Jul-19 19-647 GUEVARRA, JERWIN PAUL T. 620 INTERIOR 43-A SAN ANDRES ST. BRGY 705 MALATE - MANILA - 530.00 530.00 2-Jul-19 19-648 CELESTE, MA. CRISTINA H. BLK4 DAMATA ST. BRGY TONSUYA LETRE MALABON 754.50 CITY - - 754.50 3-Jul-19 19-649 REYES, FRIAN 3192 PILAR ST. BRGY 199 TONDO MANILA - - 1,123.45 1,123.45 3-Jul-19 19-650 CASTRO, ZEUS NATHANIEL 60 OLD SAMSON ST. BRGY BALINTAWAK QUEZON CITY - - 530.00 530.00 3-Jul-19 19-651 GARCIA, PAOLO BUGSY MIGUEL A.3518 A. PARAISO ST. BRGY 578 SAMPALOC MANILA - - 1,281.33 1,281.33 3-Jul-19 19-652 PADOC, RUEL H. 354 ROSE, REPARO, BAESA ST. BRGY 161 CALOOCAN - CITY - 360.00 360.00 3-Jul-19 19-653 ANIBAN JR., JAIME S. 608 F. HUERTAS ST. BRGY 363 STA. CRUZ MANILA - - 1,105.00 1,105.00 3-Jul-19 19-654 BELISARIO, EMMANUEL 1708 VELASQUEZ ST. BRGY 82 TONDO MANILA - - 7,637.49 7,637.49 3-Jul-19 19-655 PADILLA, ALICIA C. 2001 BALINTAWAK EXT., ST. BRGY 229 TONDO MANILA - - 2,350.00 2,350.00 3-Jul-19 19-656 DONATO, ANN CHRISTINE R. 744 R. HIDALGO ST. BRGY 306 QUIAPO MANILA - - 2,535.99 2,535.99 3-Jul-19 19-657 DELA CRUZ, ROBERTO G. LOT 74, PH. 1 ST. BRGY TONSUYA MALABON CITY - - 7,780.00 7,780.00 3-Jul-19 19-658 SANCHEZ, RALPH MICHAEL C. 168 LAKAS NG MAHIRAP ST. BRGY 10 CALOOCAN CITY - - 1,026.19 1,026.19 4-Jul-19 19-659 ARCEGA, TERESITA N. D2 BORROMEO ST. BRGY LONGOS MALABON CITY - - 685.53 685.53 4-Jul-19 19-660 CRUZ, MARJERIE D. 2154 ANONAS ST. BRGY 628 STA. MESA MANILA - - 4,250.00 4,250.00 4-Jul-19 19-661 SIAROT, JULITO M. L5, B7, GREEN VALLEY COMP. SAN ISIDRO ST. BRGY GATCHALIAN- LAS PIÑAS - CITY 360.00 360.00 4-Jul-19 19-662 ALDAVE, CLEOPE P. SAMPAGUITA ST. BRGY DAKILA MALOLOS BULACAN - - 3,937.70 3,937.70 4-Jul-19 19-663 CUBOS, SOLEDAD J. 109 INT. DAVILLA ST. ST. BRGY NAVOTAS WEST NAVOTAS - CITY - 288.00 288.00 4-Jul-19 19-664 COLLADO, JUVY M. B176, L2, PH4 ST. BRGY PALIPARAN III DASMARIÑAS - CAVITE - 236.63 236.63

Page 11 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

4-Jul-19 19-665 ALDAMAR, ROMEO A. B37, L38, PALAO ST. BRGY CANLUBANG CALAMBA LAGUNA - - 920.00 920.00 4-Jul-19 19-666 RENCIO, AYESHA JULYANNAH O. PFDA, LAMBATAN COMP. ST. BRGY NBBS NAVOTAS - CITY - 980.69 980.69 4-Jul-19 19-667 DORIA, RICKY S. 2624 F. DAGUPAN ST. BRGY 163 TONDO MANILA - - 525.51 525.51 4-Jul-19 19-668 BACCAY, NITA S. DUMPSITE, SITIO 6 ST. BRGY CATMON MALABON CITY - - 400.00 400.00 4-Jul-19 19-669 MANILA, DELMAR B. 412 CAPULONG ST. BRGY 82 TONDO MANILA - - 1,026.19 1,026.19 4-Jul-19 19-670 GALERO, LERMA D. 969 M. DAGUPAN ST. BRGY 49 TONDO MANILA - - 530.00 530.00 4-Jul-19 19-671 DIVERSON, MARIANNE M. 1631 F. VARONA ST. BRGY 80 TONDO MANILA - - 1,345.00 1,345.00 4-Jul-19 19-672 EVOCES, EMMANUEL H. 1046 IBARRA ST. BRGY 513 SAMPALOC MANILA - - 1,105.88 1,105.88 4-Jul-19 19-673 YAP, SHANE STEVEN V. 2125 B. MOLAVE ST. BRGY 221 TONDO MANILA - - 2,350.00 2,350.00 4-Jul-19 19-674 RAMOS, NOLI S. BRGY VELOSO SILANG CAVITE CITY - - 1,674.19 1,674.19 4-Jul-19 19-675 EGWASI, DWAYNE CALI C. B8, L8, PH.4 ST. BRGY ESTRELLA SAN PEDRO LAGUNA - - 135.10 135.10 4-Jul-19 19-676 MISSION J.R., ODON B. BLK. 32 B LOT 26 PH. 2 AREA 2 ST. BRGY NBBS DAGAT-DAGATAN 754.50 NAVOTAS - CITY - 754.50 4-Jul-19 19-677 ALFONSO, ELSA C. 0237 A. REPARO ROAD ST. BRGY 162 CALOOCAN 3,276.00 - - 3,276.00 4-Jul-19 19-678 TAMBOBONG, LEILA H. DISPLINA VILLAGE ST. BRGY BIGNAY VALENZUELA - CITY - 905.49 905.49 4-Jul-19 19-679 ECALNIR, GILBERT C. PUROK 1 ST. BRGY MACABLING STA ROSA LAGUNA - - 3,408.40 3,408.40 4-Jul-19 19-680 SEVILLA, EDNA B. 381 DAYAO ST. BRGY 133 TONDO MANILA 823.50 - - 823.50 4-Jul-19 19-681 SEVILLA, DANILO A. 381 DAYAO ST. BRGY 133 TONDO MANILA 151.50 - - 151.50 4-Jul-19 19-682 GALARAGA, ROMY B. BLK J 2, LOT 11 ST. BRGY SAN FRANCISCO II DASMARIÑAS - CAVITE - 7,941.30 7,941.30 4-Jul-19 19-683 CUBOS, SOLEDAD J. 109 INT. DAVILLA ST. ST. BRGY NAVOTAS WEST 754.50 NAVOTAS CITY - - 754.50 4-Jul-19 19-684 HERCER, MAXIMINO JR L. 2151 VISAYAN AVE, COR LEYTE ST. BRGY 562 SAMPALOC - MANILA - 4,169.72 4,169.72 4-Jul-19 19-685 SANTIAGO, JOSEFINO R. 1319 A.ANDALUCIA ST. BRGY 319 STA. CRUZ MANILA 565.50 - - 565.50 4-Jul-19 19-686 LAZARO, BIENVENIDO P. 1424 MATA ST. BRGY 117 TONDO MANILA 702.00 - - 702.00 4-Jul-19 19-687 RAMOS, ARLENE O. 10 JM TEMPLORA ST. BRGY SANTULAN MALABON CITY - - 6,774.32 6,774.32 4-Jul-19 19-688 ROQUE, ROCHELLE ANN G. BLK. 10 LOT 9 SALMON ST. BRGY. 8 DAGAT DAGATAN - CALOOCAN - 567.12 567.12 4-Jul-19 19-689 JOVISINO, VICTORIANO JR F. 53 MANUNGGAL ST. BRGY TATALON QUEZON CITY 95.20 - 1,357.79 1,452.99 4-Jul-19 19-690 RAMIREZ, NELSON S. 173 A.PALON ST. BRGY 75 GRACE PARK CALOOCAN 565.50 CITY - - 565.50 4-Jul-19 19-691 VALDEZ, JONATHAN M. 2148 ROAD 12 FAVIE ESTATE ST. BRGY 789 STA.ANA - MANILA - 1,576.50 1,576.50 4-Jul-19 19-692 TANO, CANDELARIA C. SITIO MAISGASIG ST. BRGY NONE - TAGUIG CITY 1,500.00 - 1,500.00 4-Jul-19 19-693 RAMIREZ, MERIAM S. 173 A.PALON ST. BRGY 75 GRACE PARK CALOOCAN 754.50 CITY - - 754.50 4-Jul-19 19-694 CABUJOC, GILBERT Q. 28 PALANZA ST. BRGY DOÑA IMELDA QUEZON CITY - - 3,365.60 3,365.60 4-Jul-19 19-695 PUNZAL, JESSA MYCHA B. 1282 BARCELONA EXT ST. BRGY 47 TONDO MANILA - 1,080.00 - 1,080.00 4-Jul-19 19-696 ESCOBIDAL, JONICK GIAN E. 459 ABBEY ROAD, PNR COMPOUND ST. BRGY 73 SANGANDAAN - CALOOCAN 2,400.00 CITY - 2,400.00 4-Jul-19 19-697 GONZALES, ROSITA C. 64 BAGONG BUHAY ST. BRGY GALAS QUEZON CITY 350.61 - - 350.61 4-Jul-19 19-698 MARTIN, RUBEN P. 2220 IPIL ST. BRGY 360, ZONE 36 STA. CRUZ MANILA - - 1,818.62 1,818.62 4-Jul-19 19-699 VENDIL , ALEXANDER P. 2770 G. SANTOS ST. BRGY 182 GAGALANGIN TONDO - MANILA 1,500.00 - 1,500.00 2-Jul-19 19-700 OLOROSO J.R., NILO C. B5, STRUCTURE 35, BASECO ST. BRGY 649 PORT AREA - MANILA - 2,350.00 2,350.00 2-Jul-19 19-701 PASAMBA, JULIE ANN A. 136 KAWIT ST. BRGY 135 TONDO MANILA 227.50 - 8,247.64 8,475.14 4-Jul-19 19-702 GONZALES, DYLAN GAVRIL T. 947 LUZON ST. BRGY 260 TONDO MANILA - - 30,711.90 30,711.90 4-Jul-19 19-703 JUYAD, MARY GRACE B. PHASE 3B 1847, BLK. 1 ST. BRGY 175 CAMARIN CALOOCAN 330.55 CITY - - 330.55 3-Jul-19 19-704 GONZALES JULIAN QUEZON CITY - - 8,565.45 8,565.45 3-Jul-19 19-705 REYNALD CRUSPERO PARANAQUE CITY - - 185.39 185.39 4-Jul-19 19-706 HOYLE, ADELE O. 184 C 8TH AVE ST. BRGY 58 CALOOCAN CITY - - 1,240.00 1,240.00 4-Jul-19 19-707 AVELINO , ROSSANA L. 1675 IMELDA ST. BRGY 108 TONDO MANILA - 1,200.00 - 1,200.00 4-Jul-19 19-708 TOBIANO, CELLYN GOKUO H. 326 NEPOMUCENO ST. BRGY 97 TONDO MANILA - 1,800.00 - 1,800.00 4-Jul-19 19-709 GOTOC, BALTAZAR M. 144 LIBIS ST. BRGY NONE SAN RAFAEL BULACAN - - 2,827.53 2,827.53 4-Jul-19 19-710 CASTILLO, VICTORIA L. 735 PEÑALOSA ST. BRGY 65 TONDO MANILA 754.50 - - 754.50 4-Jul-19 19-711 CAPE, MABEL M. BRGY LIPAHAN SAN JUAN BATANGAS 2,587.00 - - 2,587.00 4-Jul-19 19-712 CATUNGGAL, CECILIA E. 2123 MOLAVE ST. BRGY 221 TONDO MANILA 1,729.50 - - 1,729.50 4-Jul-19 19-713 TOMACRUZ, MACARIA P. BRGY STO NINO PAUMBONG BULACAN 2,587.00 - - 2,587.00 4-Jul-19 19-714 GUINTO, JOHN PAUL M. 1708 M NATIVIDAD ST. BRGY 363 STA CRUZ MANILA 214.50 - - 214.50 4-Jul-19 19-715 DIMATERA, MARCO ANTONIO C. 17 I KATIPUNAN ST. BRGY 139 BAGONG BARRIO CALOOCAN - CITY - 4,044.00 4,044.00 4-Jul-19 19-716 YACUB, MADELINE C. BLOCK 35 LOT 3 CASA ASUNCION ST. BRGY 171 CALOOCAN - CITYN - 1,091.00 1,091.00 4-Jul-19 19-717 PASCUAL, JENNY JOY M. 304 LAUREL ST. BRGY 119 TONDO MANILA - - 1,247.64 1,247.64 4-Jul-19 19-718 PEREZ, JOSEFINA S. 66 F. LORETO ST. BRGY 418 SAMPALOC MANILA 106.50 - - 106.50 4-Jul-19 19-719 MAGBANUA, PRINCE NIGEL R. 10 JM TEMPLORA ST. BRGY SANTULAN MALABON CITY - - 2,747.54 2,747.54 4-Jul-19 19-720 DELA CRUZ, CARMEN F. 23 P. GENERAL TIÑO ST. BRGY 85 CALOOCAN CITY 565.50 - - 565.50 4-Jul-19 19-721 VECIDA, JONATHAN G. PUROK MALIGAYA ST. BRGY IBABANG DUPAG LUCENA 409.50 - - 409.50 4-Jul-19 19-722 LIANES, MARLYN S. 2404 LEONOR RIVERA ST. BRGY 369 STA. CRUZ MANILA 291.90 - 104.77 396.67 4-Jul-19 19-723 QUINTAL, EDISON S. BRGY STO. NIÑO QUEZON CITY - - 35,947.26 35,947.26 4-Jul-19 19-724 SONEJA, JOSENITA P. 444 MORNING STAR ST. BRGY 107 TONDO MANILA 429.00 - - 429.00 4-Jul-19 19-725 REBUTAZO, HARRY 7TH AVE. RIVERSIDE ST. BRGY STA. LUCIA PASIG CITY - - 8,316.83 8,316.83

Page 12 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

4-Jul-19 19-726 OCAMPO, JAMES DARRYLL BLK 13 E, LOT 11 ST. BRGY 177 NOVALICHES CALOOCAN - CITY - 15,047.29 15,047.29 4-Jul-19 19-727 IBUAN, FATIMA V. 30 KATIPUNAN ST. BRGY BAYAN-BAYANAN MALABON - CITY - 17,496.70 17,496.70 4-Jul-19 19-728 DONATO, LEONORA BRGY POGOMBOA AGUILAR PANGASINAN 2,587.00 - - 2,587.00 4-Jul-19 19-729 ENRIQUEZ, DEEGRAY S. SAPIRE ST. BRGY 122 TONDO MANILA - - 6,156.74 6,156.74 4-Jul-19 19-730 CABRERA, JANET M. AREA 5 SITIO CABUYAO SAUYO ROAD ST. BRGY SAUYO - NOVALICHES QUEZON 325.00 CITY - 325.00 4-Jul-19 19-731 CORTEZ, APRIL MARIE -. 1651 C. M. HIZON ST. BRGY 331, ZONE 34 STA. CRUZ - MANILA 500.00 - 500.00 4-Jul-19 19-732 SALVADOR, JAYPEE V. 1620 A. NATIVIDAD ST. BRGY 339 STA. CRUZ MANILA 194.60 - - 194.60 4-Jul-19 19-733 ARNALEN D. VILLANUEVA BRGY. SAN ISIDRO GALAS QUEZON CITY 7,072.00 - - 7,072.00 4-Jul-19 19-734 BUENO, VICENTE R. BLK216 LOT 8 PH 5 ST. BRGY PALIPARAN III DASMARIÑAS - CAVITE - 1,263.01 1,263.01 4-Jul-19 19-735 NAVERA, JOYCE V. 1078 KAPIT BISIG TEACHERS COMPOUND ST. BRGY -CAA LAS PIÑAS CITY 325.00 - 325.00 4-Jul-19 19-736 FLORENDO, TEODORA E. 1606 QUIRICADA ST. BRGY 334 STA. CRUZ MANILA - 960.00 - 960.00 4-Jul-19 19-737 GREGO, MARIA TERESITA M. 1531 TINDALO ST. BRGY 254 TONDO MANILA - - 16,116.81 16,116.81 4-Jul-19 19-738 BRIGAÑA, CATALINA S. 1261 ABAD SANTOS MORIONES ST. BRGY 46 TONDO - MANILA 1,080.00 - 1,080.00 4-Jul-19 19-739 FABABAER, RODOLFO S. 1988 G. PERFECTO ST. BRGY 197 TONDO MANILA 9,198.00 - - 9,198.00 4-Jul-19 19-740 REGALADO, NIÑO BRYLLE A. 49 LOT 4 ST. BRGY GONZALES PAKIL LAGUNA - - 12,779.33 12,779.33 4-Jul-19 19-741 VILLAHERMOSA, CAYO G. PUROK 1 ST. BRGY ABULALAS HAGONOY BULACAN 3,123.00 - - 3,123.00 4-Jul-19 19-742 PANELO, LORENA S. GULOD ST. BRGY KAINGIN SAN RAFAEL BULACAN 2,427.80 - - 2,427.80 4-Jul-19 19-743 JACINTO, YOLANDA BRGY. 178 MARICABAN PASAY CITY 9,230.00 - - 9,230.00 4-Jul-19 19-744 DELIMA J.R., HOLDEN L. PH 4-C PACKAGE 6 LOT EXCESS ST. BRGY 176 BAGONG 455.35 SILANG CALOOCAN - CITY - 455.35 4-Jul-19 19-745 BACHICHA, RHODNEY M. BRGY 09 CATBOLOGAN SAMAR - 3,400.00 - 3,400.00 4-Jul-19 19-746 ANTEOJO, MARIA ALYSSA CORINNE838 L. BENNY ST. BRGY 527 SAMPALOC MANILA - - 1,736.60 1,736.60 4-Jul-19 19-747 MONCELLER, ADELFA S. 3 BERNADETTE ST. BRGY HULONG DUHAT GABRIEL 9,198.00 SUBD. II MALABON CITY - - 9,198.00 4-Jul-19 19-748 BARCELA, CORAZON BARANGAY NBBS NAVOTAS CITY - - 38,258.99 38,258.99 4-Jul-19 19-749 VILORIA, PRESCILLA N. 1735 F. VARONA ST. BRGY 85 TONDO MANILA 754.50 - - 754.50 4-Jul-19 19-750 DORERO, JOSEFA L. RIVERSIDE BUFFER ZONE EXT. ST. BRGY 35 DAGAT-DAGATAN, 754.50 MAYPAJO CALOOCAN - CITY - 754.50 4-Jul-19 19-751 IBNO, MERSA U. 4550 INT. 2B FRANCISCO ST. BRGY 592, ZONE 58 STA. - MESA MANILA 1,200.00 - 1,200.00 4-Jul-19 19-752 DULAY, JENNIFER U. BRGY BOLIHAN SILANG CAVITE - - 32,700.08 32,700.08 4-Jul-19 19-753 ALMARIO, JASMINE JEAN G. BLK. 12B LOT 35 PH.2 AREA 3 ST. BRGY LONGOS DAGAT-DAGATAN - MALABON 1,200.00 CITY - 1,200.00 4-Jul-19 19-754 ESTRELLA, SATURNINA C. BRGY CUTCUT GUIGUINTO BULACAN 7,098.00 - - 7,098.00 4-Jul-19 19-755 GOMEZ, ESTRELLITA P. 1600 INT. 15 J. FAJARDO ST. BRGY 429, ZONE 44 SAMPALOC156.00 MANILA - - 156.00 4-Jul-19 19-756 MEDINA, BRENDA C. 273 NADURATA ST. BRGY 66 10TH AVE. CALOOCAN 2,587.00 CITY - - 2,587.00 4-Jul-19 19-757 MAGLAQUE, NENITA Q. 178 STA. ISABEL ST. BRGY BAGONG BAYAN MALOLOS 9,198.00 BULACAN - - 9,198.00 4-Jul-19 19-758 GALICIA, ROVITA D. BLK 9 LOT 50 BUKLOD BAHAYAN ST. BRGY TARTARIA - SILANG CAVITE - 12,129.16 12,129.16 4-Jul-19 19-759 BALINGIT, JAMIE ROSE T. 861 BETINA ST. BRGY 572 SAMPALOC MANILA - - 210.00 210.00 4-Jul-19 19-760 MORALLOS, LOLITA 1933 TIOCO ST. BRGY 91 TONDO MANILA 2,079.00 - - 2,079.00 4-Jul-19 19-761 HABERIA, PRINCE KARL B. PH 2 PKG 2 BLK 2 LOT 11 ST. BRGY 176 BAGONG SILANG - CALOOCAN CITY - 530.00 530.00 4-Jul-19 19-762 YU, GLORIA R. BLK33 LOT22 R5, CITY HOMES, RESORTVILLE ST. 793.15 BRGY LANGKAAN II DASMARIÑAS - CITY CAVITE - 793.15 4-Jul-19 19-763 LAURENCIANO, WARREN O. 2629 DAGUPAN EXT. ST. BRGY 164, ZONE 14 TONDO 273.00 MANILA - - 273.00 4-Jul-19 19-764 CABREJAS, MA. DOLORES E. 78 MA. GUIZON ST. BRGY 152 GAGALANGIN, TONDO 754.50 MANILA - - 754.50 4-Jul-19 19-765 FRESNIDO, DANIEL A. 815 MASANGKAY ST. BRGY 296 BINONDO MANILA - - 2,453.04 2,453.04 4-Jul-19 19-766 MERCADO, PAULYN L. 2147 VELASQUEZ ST. BRGY 96 TONDO MANILA 399.35 - - 399.35 4-Jul-19 19-767 BIE, BENIDO M. 24 F CARLOS ST. BRGY BAESA QUEZON CITY 754.50 - 2,800.07 3,554.57 4-Jul-19 19-768 EDROSOLAN, DANILO D. 330 ROSE ST. BRGY 161 REPARO CALOOCAN CITY - - 2,734.97 2,734.97 4-Jul-19 19-769 DIMALANTA, CARL E. 2404 L RIVERA ST. BRGY 369 STA CRUZ MANILA - - 2,453.04 2,453.04 4-Jul-19 19-770 FERRY, ANAMAY S. BLK 19 LOT 5 PHASE 1 GREEN ESTATE ST. BRGY MALAGASANG - IG IMUS CAVITE - 11,011.96 11,011.96 4-Jul-19 19-771 ANDRES, REMELYN B. BRGY IPIL MAGDIWANG ROMBLON - - 3,430.87 3,430.87 4-Jul-19 19-772 CARBINILLIA, MARY GRACE M. 2934 D. SAMAL ST ST. BRGY 19 TONDO MANILA - - 3,362.85 3,362.85 4-Jul-19 19-773 MESA, EMILIZA P. B5, L6, COASTAL VILLAGE ST. BRGY ST. PETER I DASMARIÑAS - CAVITE - 1,485.97 1,485.97 4-Jul-19 19-774 ESPLANADA, LARA L. 228 PAGHANAPIN ST. BRGY 30, ZONE 2 TONDO MANILA - - 569.50 569.50 4-Jul-19 19-775 RESMA, MAXIMINO C. 91 MAGANDA ST. BRGY 150 BAGONG BARRIO CALOOCAN - CITY - 1,203.05 1,203.05 4-Jul-19 19-776 DAVID, CAREEN F. PH2 BLK2 LOT8 MONTALBAN HEIGHTS ST. BRGY SAN - JOSE RODRIGUEZ RIZAL - 714.02 714.02 4-Jul-19 19-777 ABIGAN, GILLIE ANN N. OROQUETA ST. BRGY 352 STA CRUZ MANILA - - 4,313.97 4,313.97 4-Jul-19 19-778 ESPIRITU, EVANGELINE C. 795 FABIA ST. BRGY 56 TONDO MANILA - - 1,060.00 1,060.00 4-Jul-19 19-779 BERGANCIA, RODOLFO G. VERQUILLE ARCALIA ST. BRGY DULONG BAYAN BACOOR - CAVITE - 3,420.92 3,420.92 4-Jul-19 19-780 GADDI, JAREND S. BLOCK 11 SAWATA ST. BRGY 35 DAGAT DAGATAN CALOOCAN - CITY - 3,340.00 3,340.00 4-Jul-19 19-781 DELA CRUZ, SHIRLEY M. BLK27 LOT6 ST. BRGY CACARONG PANDI BULACAN - - 1,254.65 1,254.65 4-Jul-19 19-782 RELOX, CJ C. 06 BRIONES ST. BRGY BATASAN HILLS FREEDOM 5 QUEZON - CITY - 3,663.45 3,663.45 4-Jul-19 19-783 MANGUBOS, SYDNEY D. 772 MASAGANA ST. BRGY 73 SAMSON ROAD CALOOCAN - CITY - 880.00 880.00 4-Jul-19 19-784 DACULA, NORHAIREN C. MARIA CLARA ST. BRGY 113 CALOOCAN CITY - - 372.96 372.96 4-Jul-19 19-785 MANUEL, ROMMEL B. 751 CAMBA ST. BRGY 272 BINONDO MANILA - - 2,120.00 2,120.00 4-Jul-19 19-786 MULI, GLENDA BLDG.15 UNIT 103 KATUPARAN ST. BRGY NONE VITAS - TONDO, MANILA - 1,855.00 1,855.00

Page 13 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

4-Jul-19 19-787 DE GUZMAN, JOSE GABRIEL T. 163 M PENARANDA ST. BRGY WAWA TANAY RIZAL - - 5,020.00 5,020.00 4-Jul-19 19-788 DAGUMAN, MARCIANA D. 921 R PAPA ST. BRGY 464 SAMPALOC MANILA - - 1,362.04 1,362.04 4-Jul-19 19-789 LUSONG, ROBIN L. SITIO TABON ST. BRGY TINANG CONCEPCION TARLAC - - 3,837.90 3,837.90 4-Jul-19 19-790 ESTRELLA, KARIZ D. BRGY LUYOS SAN ANTONIO NUEVA ECIJA - - 1,855.00 1,855.00 5-Jul-19 19-791 BALBIRAN, ANDREA Y. ROTC HUNTERS ST. BRGY TATALON QUEZON CITY - - 673.62 673.62 5-Jul-19 19-792 VASQUEZ, JOHN LLOYD L. 216 QUINTINA EXT ST. BRGY 633 STA. MESA MANILA - - 2,650.00 2,650.00 5-Jul-19 19-793 RANGIS, HERBERT JR. C. BLK 15 B BASECO ST. BRGY 649 PORT AREA MANILA - - 2,350.00 2,350.00 5-Jul-19 19-794 DALUYON, PRINCESS AIRISH 49 AGNO EXT ST. BRGY TATALON QUEZON CITY - - 2,350.00 2,350.00 5-Jul-19 19-795 NAVITA, RENALYN B. NORTH CEMETERY 2ND ST. BRGY 372 STA CRUZ MANILA - - 2,487.48 2,487.48 5-Jul-19 19-796 HANAYA, REAGEL J. P GUEVARRA ST. STA CRUZ MANILA - - 360.00 360.00 5-Jul-19 19-797 GONZALES, EDRALIN J. 1921 VELASQUEZ ST. BRGY 95 TONDO MANILA - - 680.30 680.30 5-Jul-19 19-798 BACOLOD, SHIRLEY V. 999 VALDEZ ST. BRGY 559 SAMPALOC MANILA - - 955.38 955.38 5-Jul-19 19-799 PALINO, HILARIO B. BLK 16 LOT31 CASANUEVA ST. BRGY AMAYA BLISS TANZA- CAVITE - 5,006.85 5,006.85 5-Jul-19 19-800 Sargan, Alvin N. 2608 JOSEABAD SANTOS ST. BRGY 212 TONDO MANILA - - 360.00 360.00 5-Jul-19 19-801 MARQUEZ, ROBERTO O. 149 4TH ST. BRGY 109 7TH CALOOCAN CITY - - 1,475.00 1,475.00 5-Jul-19 19-802 PAGHUNASAN, MICHAEL ANGELOBLK C. 4 LOT11 TUPDA ST. BRGY 8 SANGANDAAN CALOOCAN - CITY - 5,545.21 5,545.21 5-Jul-19 19-803 TIGBAWAN, MARK BLK 9 LOT 9 BASECO COMP. ST. BRGY 649 MANILA - - 1,790.00 1,790.00 5-Jul-19 19-804 AGUDO, CORAZON C. 30 A MABINI ST. ASTY SUBD ST. BRGY KARUHATAN - VALENZUELA CITY - 1,249.82 1,249.82 5-Jul-19 19-805 ROSALES, JHAMIL M. 661 MARY ANN ST. BRGY 177 TONDO MANILA - - 516.49 516.49 5-Jul-19 19-806 GONZALES, CARLITO D. 2406 JUAN LUNA ST. BRGY NONE TONDO MANILA - - 1,249.16 1,249.16 5-Jul-19 19-807 TUGAT, BONIFACIO B. 517 SANTOL ST. STA MESA MANILA - - 530.00 530.00 5-Jul-19 19-808 BUENDIA, RODRIGO B. 1017 M DELA FUENTE ST. BRGY 476 SAMPALOC MANILA - - 1,586.66 1,586.66 5-Jul-19 19-809 CATIG, CHRISTIAN Q. 33 DIAMOND ST. BRGY MILLIONARES VILLAGE NOVALICHES - QUEZON CITY - 92,335.05 92,335.05 5-Jul-19 19-810 SIA, HILARIO T. 021 PASONG KALABAW ST. BRGY MANGGAHAN PANDI - BULACAN - 11,836.47 11,836.47 5-Jul-19 19-811 VARIAS, JAYSON M. 106 OLIVAREZ ST. BRGY SAN ISDIRO SUCAT PARAÑAQUE - CITY - 3,787.19 3,787.19 5-Jul-19 19-812 AQUINO, ALLAN I. B200 L7 DECA HOME ST. BRGY LOMA DE GATO ST. MARTHA, - MARILAO BULACAN - 22,458.62 22,458.62 5-Jul-19 19-813 SEDA, ROGELIO L. BRGY LAGUILE TAAL BATANGAS - - 19,773.30 19,773.30 5-Jul-19 19-814 MIRANO, DENNIS M. 118 SANTAN PINGKIAN ST. BRGY PASONG TAMO QUEZON - CITY - 13,698.48 13,698.48 7-Jul-19 19-815 AQUINO, ALLAN I. B200 L7 DECA HOME ST. BRGY LOMA DE GATO ST. MARTHA, - MARILAO BULACAN - 22,458.62 22,458.62 7-Jul-19 19-816 LUCEÑO, CONSTANCIO R. 043 CLEANVILLE COMPOUND ST. BRGY MANUYO UNO - LAS PIÑAS CITY - 391.76 391.76 7-Jul-19 19-817 BUENO, WARLITA G. 3 STO. TOMAS ST. BRGY TALON 3 ADMIRAL LAS PIÑAS - CITY - 30,973.68 30,973.68 7-Jul-19 19-818 VALENCIA, PURIFICACION P. 251 C ARELLANO ST. BRGY BARITAN MALABON CITY - - 23,701.72 23,701.72 7-Jul-19 19-819 PALEN, ELISA T. 286 MAPAYAPA ST. BRGY 145 BAGONG BARRIO CALOOCAN - CITY - 9,776.73 9,776.73 7-Jul-19 19-820 LABASBAS, RODRIGO M. 1362 N RIZAL ST. BRGY 250 TONDO MANILA - - 14,715.07 14,715.07 7-Jul-19 19-821 CARISMA, RAMON B. 9 PUROK 4 ST. BRGY TUMALISTIS CATBALOGAN SAMAR - - 23,283.96 23,283.96 7-Jul-19 19-822 BONAOBRA, MARIEL C. 19 GEN. TIRONA ST. BRGY 138 BAGONG BARRIO CALOOCAN - CITY - 447.87 447.87 8-Jul-19 19-823 RANES, AZEL JULIA O. SITIO 6 DAM SITE ST. BRGY CATMON MALABON CITY - - 22,744.98 22,744.98 2-Jul-19 19-824 BABAGAY, RUBY D. PUROK 2 ST. BRGY TARUM MERCEDES CAMARINES NORTE- - 15,335.12 15,335.12 3-Jul-19 19-825 LAURA PARAGUYA DUHAT ST. SJDM BULACAN 6,648.00 - - 6,648.00 3-Jul-19 19-826 ONG, ENRIQUE L. CANUMAY WEST VALENZUELA 2,575.50 - - 2,575.50 3-Jul-19 19-827 FELIPE, JECA LOUISE C. 12 CAVITE ST. BAGONG BANTAY QUEZON CITY 2,926.00 - - 2,926.00 3-Jul-19 19-828 MANUEL, ACZELLE ERICKA M. BRGY. COLLAT MASINLIC ZAMBALES 2,926.00 - - 2,926.00 3-Jul-19 19-829 CAPULONG, JOCEL H. 721 LAONG NASA ST. BRGY 153 TONDO MANILA - - 2,307.52 2,307.52 3-Jul-19 19-830 BELARMINO, ROSALINDA P. ZERAMYR 1 SUBD ST. BRGY MARKET AREA STA.ROSA - LAGUNA - 24,009.62 24,009.62 1-Jul-19 19-831 HERSANO, JIMMY P. 19 VMA COMPOUND, ANONAS ST. ST. BRGY POTRERO - MALABON CITY - 44,291.95 44,291.95 4-Jul-19 19-832 OAFERINA, MARY JEAN A. 106 PAL DRIVE, ERLYN VILLAGE ST. BRGY VITALEZ - PARAÑAQUE CITY - 1,220.71 1,220.71 4-Jul-19 19-833 SOBREMESANA JR., LAMBERTO 2110 ANGAT EXT ST. BRGY NONE TONDO MANILA 6,942.00 - - 6,942.00 5-Jul-19 19-834 BERNALTE, ALFREDO M. 8 SOCIEGO ST. BRGY TENAJEROS MALABON CITY 741.00 - - 741.00 5-Jul-19 19-835 RAYMUNDO, CATALINA D. PUROK 2 ST. BRGY MALAMIG BUSTOS BULACAN - - 1,776.94 1,776.94 5-Jul-19 19-836 CASIDSID, EVELYN R. 1281 INT 58 TAMBUNTING ST. ST. BRGY 373 STA 970.40 CRUZ MANILA - - 970.40 5-Jul-19 19-837 MAURICIO, RACHEL EVE F. 409 INOCENCIO ST. BRGY 93 TONDO MANILA - - 2,560.00 2,560.00 5-Jul-19 19-838 MANLASING, IMELDA E. I 424 P. GUEVARRA ST. ST. BRGY 317 STA. CRUZ MANILA 194.60 - - 194.60 5-Jul-19 19-839 MANALANG, MARIA LUISA T. 11-C ARNOLD ST. BRGY 55 TONDO MANILA 1,300.50 - - 1,300.50 5-Jul-19 19-840 LUGO, ANTONIO M. 1652 GLADIOLA EXT SARANAY HOMES ST. BRGY 1,066.15 BAGUMBONG CALOOCAN - CITY - 1,066.15 5-Jul-19 19-841 BERNAL, ROLANDO G. 220-F D. YABUT ST., 7TH AVENUE ST. BRGY 52 1,317.80GRACE PARK CALOOCAN CITY - - 1,317.80 5-Jul-19 19-842 FRANCISCO, JAMES H. 3390 D. SANTIAGO ST. BRGY 188 TONDO MANILA 754.50 - - 754.50 5-Jul-19 19-843 LAXAMANA, MARIO B. 1245 S. NICOLAS ST. BRGY 251 TONDO MANILA 565.50 - - 565.50 5-Jul-19 19-844 PUNO, CLEMENTE T. 225 C. NAMIE ST. BRGY 38, ZONE 4 2ND. AVE CALOOCAN 1,066.15 CITY - - 1,066.15 5-Jul-19 19-845 SUMIBCAY, JAYSON D. 23 DIEGO SILANG ST. BRGY STA LUCIA NOVALICHES 1,540.50 QUEZON CITY - - 1,540.50 5-Jul-19 19-846 AGUILAR, LEONA V. 23 DIEGO SILANG ST. BRGY STA LUCIA NOVALICHES 1,985.25 QUEZON CITY - - 1,985.25 5-Jul-19 19-847 MENDEZ, ZENY I. BRGY PUNTA LOOC ROMBLON - 1,700.00 - 1,700.00

Page 14 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

5-Jul-19 19-848 LLAMAS, ANGEL R. 5117 SULOK ST. BRGY UGONG VALENZUELA CITY - - 1,025.87 1,025.87 5-Jul-19 19-849 IGNACIO, ARMANDO R. 1761 TECSON DE GUIA ST. BRGY 121 TAYUMAN 565.50 MANILA - - 565.50 5-Jul-19 19-850 SANTOS, MICHELLE A. 409 INT3 INOCENCIO ST. BRGY 93 TONDO MANILA - 1,200.00 - 1,200.00 5-Jul-19 19-851 MAYOJO, GIAR F. 2674 C. DAGUPAN EXT., ST. BRGY 218 TONDO MANILA - - 2,596.40 2,596.40 5-Jul-19 19-852 TONGOL, BERNARD N. 1501 ABAD SANTOS ST. BRGY 246, ZONE 22 TONDO 1,066.15 MANILA - - 1,066.15 5-Jul-19 19-853 CRUZ, ARMANDO A. 638 PAG-ASA ST. BRGY 181 TONDO MANILA - 500.00 - 500.00 5-Jul-19 19-854 Ngan, Gigi P. 137 9TH AVENUE CORNER 2ND ST. ST. BRGY 107 GRACEPARK - CALOOCAN 1,200.00 CITY - 1,200.00 5-Jul-19 19-855 GENEGALING, WILMA JEAN M. PNPA CAMP CASTAÑEDA ST. BRGY TARTARIA SILANG - CAVITE - 1,670.00 1,670.00 5-Jul-19 19-856 RAMOS, LINA C. 77 ANONAS ST. ST. BRGY 142 BAGONG BARRIO CALOOCAN 754.50 CITY - - 754.50 5-Jul-19 19-857 DECORICO, PRINCESS SARAH S. 1083 BATANGAS ST. BRGY 228 TONDO MANILA - - 279.06 279.06 5-Jul-19 19-858 GABORNO, ELMER O. 172 INT 4 ST. BRGY 51 WEST CALOOCAN CITY 1,755.00 - - 1,755.00 5-Jul-19 19-859 PANGILINAN, FELICIDAD R. 1015 PAREDES ST. BRGY 464 SAMPALOC MANILA - 1,680.00 - 1,680.00 5-Jul-19 19-860 RAGO, RUELLA BIANCA P. 1023 INT. 6 MENDIOLA EXT. ST. BRGY 829 OTIS, PACO - MANILA - 750.00 750.00 5-Jul-19 19-861 GIRON, ELIZABETH A. 442 PRUDENCIO ST. BRGY 444 SAMPALOC MANILA 672.00 - - 672.00 5-Jul-19 19-862 REYES, RODOLFO F. CUADRA ST. BRGY UGONG VALENZUELA CITY 2,016.00 - - 2,016.00 5-Jul-19 19-863 FERNANDO, ROBERT N. 427 NICODEMUS ST. BRGY 67, ZONE 6 TONDO MANILA - - 530.00 530.00 5-Jul-19 19-864 ARRIOLA, BIENVENIDA M. 521 CRISTOBAL ST. BRGY 440 SAMPALOC MANILA 866.70 - - 866.70 5-Jul-19 19-865 GALANZA, MILAGROSA D. BRGY MABINI BASEY SAMAR - 1,200.00 - 1,200.00 5-Jul-19 19-866 Bolgado, Flora R. 84 MARIANO PONCE ST. BRGY 132 CALOOCAN CITY 721.50 - - 721.50 5-Jul-19 19-867 MANLASING, IMELDA E. 1424 P. GUEVARRA ST. STA CRUZ MANILA - 1,500.00 - 1,500.00 5-Jul-19 19-868 MORTEGA, JOANA MAE 3872 AURORA BLVD. PAMPANGA ST. BRGY NONE STA. - CRUZ MANILA - 6,105.33 6,105.33 5-Jul-19 19-869 LOBA, ESTERLITA T. 126 A BONA ALLEY PANGAKO ST. BRGY 151 BAGONG 1,729.50 BARRIO CALOOCAN CITY- - 1,729.50 5-Jul-19 19-870 RETIS, JULIANA S. 129 SAGIP ST. BRGY VALENZUELA 1,729.50 CITY - - 1,729.50 5-Jul-19 19-871 DAVID, EDUARDO D. 508 PITONG GATANG ST. BRGY 76 TONDO MANILA 115.50 - - 115.50 5-Jul-19 19-872 VILLANUEVA, KEVIN L. B37 L6 F-1 PHASE 3 DAGAT DAGATAN ST. BRGY 12 CALOOCAN- CITY 2,400.00 - 2,400.00 5-Jul-19 19-873 MANALOTO, MONICA T. LIBIS DEL PILAR ST. BRGY SAN FERNANDO PAMPANGA 3,324.00 - - 3,324.00 5-Jul-19 19-874 PANOPIO, CLARITA V. 3996 R. MAGSAYSAY BLVD. ST. BRGY NONE STA. 429.00 MESA MANILA - - 429.00 5-Jul-19 19-875 MANUEL, ADORACION D. 507 PITONG GATANG ST. BRGY 76 TONDO MANILA 754.80 - - 754.80 5-Jul-19 19-876 AGUSTIN, GERARDO R. BRGY SAN PASCUAL UBANDO BULACAN - - 55,000.00 55,000.00 5-Jul-19 19-877 Villamor, Nonita B. BLK. 28 LOT 02 PH. 1-A ST. BRGY NBBS NAVOTAS 3,324.00 - - 3,324.00 5-Jul-19 19-878 VILLANUEVA, JOSEPHINE B. 2095 E. JUAN LUNA ST. ST. BRGY 149 TONDO MANILA 44.10 - - 44.10 5-Jul-19 19-879 DOCTOLERO, CARMEN M. 146 9TH AVENUE ST. BRGY 63 CALOOCAN CITY 1,729.50 - - 1,729.50 5-Jul-19 19-880 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY PROJECT - 4 QUEZON 5,100.00CITY - 5,100.00 5-Jul-19 19-881 DUQUE, FERDINAND J. 129 C. LORETO ST. BRGY 419 SAMPALOC MANILA 1,066.15 - - 1,066.15 5-Jul-19 19-882 NUNAG, ALBERTO R. 780 KAGANDAHAN ST. BRGY 152 TONDO MANILA - - 4,571.51 4,571.51 5-Jul-19 19-883 SOLIMAN, REBECCA T. 2110 A. M. NATIVIDAD ST. BRGY 345 STA. CRUZ 565.50 MANILA - - 565.50 5-Jul-19 19-884 CORPUS, LOURDES L. 749INT 10 2ND ST. BRGY 111 7TH AVE.,GRACE PARK - CALOOCAN CITY 2,850.00 - 2,850.00 5-Jul-19 19-885 REYES, DHENVER C. BLK 18 LOT 22 DOLMAR SUBDV ST. BRGY SAN VICENTE 1,749.00 STA MARIA BULACAN - - 1,749.00 5-Jul-19 19-886 DOZADO, ISABEL F. 2306 A. GOLDEN SHOWER ST. BRGY LAPIDARIO TRECE754.50 MARTIRES CAVITE - - 754.50 5-Jul-19 19-887 MALATE, ALECXIS JOY P. 991 A INT 4 DAGUPAN ST. BRGY 48 TONDO MANILA 565.50 - - 565.50 5-Jul-19 19-888 MALATE, YOLANDA P. 991-A INT 4 DAGUPAN ST. BRGY 48 TONDO MANILA 930.00 - - 930.00 5-Jul-19 19-889 ABIN, EMMANELYN B. BUAHAN PROPER ST. BRGY ZONE 3 RAGAY CAMARINES - SUR - 15,762.25 15,762.25 5-Jul-19 19-890 ENCARCANACION, RENATO H. 14 SAN FRANCISCO ST. BRGY KARUHATAN VALENZUELA 823.50 CITY - - 823.50 5-Jul-19 19-891 BORJA, ESTIFANIA L. 1241 CASAÑAS ST. BRGY 575 SAMPALOC MANILA 2,197.50 - - 2,197.50 5-Jul-19 19-892 ONG, JENNIFER N. 427 ZAPOTE, BAGONG BARRIO ST. BRGY NONE CALOOCAN - CITY - 13,793.10 13,793.10 5-Jul-19 19-893 BORJA, LEONARDO G. 1241 CASAÑAS ST. BRGY 575 SAMPALOC MANILA 754.50 - - 754.50 5-Jul-19 19-894 CARILLO, TERESA C. BRGY LAWA OBANDO BULACAN - 1,200.00 - 1,200.00 5-Jul-19 19-895 DELA PEÑA, FRANCISCA G. B10 SITIO PUTING BATO ST. BRGY NBBS PROPER NAVOTAS - CITY - 2,082.70 2,082.70 5-Jul-19 19-896 CRUZ, LORINA M. 27 B HEROES DEL 96 ST. BRGY 74 CALOOCAN CITY 273.00 - - 273.00 5-Jul-19 19-897 REYES, GERARDO D. B1, L43, TOPAS ST. BRGY HABAY 1 BACOOR CAVITE - - 4,900.00 4,900.00 5-Jul-19 19-898 LEGASPI, CHRISTINE F. BRGY 50 TONDO MANILA - 630.00 - 630.00 5-Jul-19 19-899 NAVARRO, MELITA L. 9 JUAN GONZALES ST. ST. TANAUAN BATANGAS 565.50 - - 565.50 5-Jul-19 19-900 BALBON, PAULINE GRACE N. 20 QUINTOS ST. BRGY SAN JOSE NAVOTAS CITY - - 1,090.00 1,090.00 5-Jul-19 19-901 DE GULA, LORETA 2 A. DE GULA ST. BRGY NONE KARUHATAN VALENZUELA 3,324.00 - - 3,324.00 5-Jul-19 19-902 NOVENARIO, ANTONIO C. SULU ST. BRGY 338 MANILA 291.90 - 323.42 615.32 5-Jul-19 19-903 SALAZAR, REA NIÑA BRGY BONGA MENOR BUSTOS BULACAN 2,768.00 - - 2,768.00 5-Jul-19 19-904 MARQUEZ, FRANCISCA R. 1504 TINDALO ST. BRGY 254 TIAONG MANILA 7,098.00 - - 7,098.00 5-Jul-19 19-905 DEL ROSARIO, SHENAH P. A.H. LACSON STREET ST. BRGY NONE SAMPALOC 754.50 MANILA - - 754.50 5-Jul-19 19-906 MINDO, NOLI M. CAMANSILES ST. BRGY 4 ROMBLON ROMBLON 7,098.00 - - 7,098.00 5-Jul-19 19-907 FERRER, NEILWYCK A. 310 ROMANA ST. BRGY 97 TONDO MANILA - - 6,308.83 6,308.83 5-Jul-19 19-908 EBAJAY, MARGIE C. PUROK 6 ST. BRGY BOLBOK BATANGAS CITY BATANGAS - - 1,325.00 1,325.00

Page 15 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

5-Jul-19 19-909 VILLATURA, VICENTE JR. A. ROAD 24 ST. BRGY MALINA VALENZUELA - - 2,301.64 2,301.64 5-Jul-19 19-910 ABRIGOSO, NORALYN C. BLK 8 LOT13 SEC 7 BAGTAS ST. BRGY PABAHAY TANZA - CAVITE CITY - 2,439.29 2,439.29 5-Jul-19 19-911 RICO, MA FLORISA B. WAWA 3 ST. BRGY ROSARIO ROSARIO CAVITE - - 16,900.74 16,900.74 5-Jul-19 19-912 ITULID, LOREZEL R. QUEZON ST. BRGY 72 TONDO MANILA - - 1,520.00 1,520.00 5-Jul-19 19-913 BANAAG, SUSAN B. 549 PRUDENCIO ST. BRGY 443 SAMPALOC MANILA - - 3,835.01 3,835.01 5-Jul-19 19-914 BILLONES, MARIETO A. BRGY MAHABANG PARANG ANGONO RIZAL - - 1,076.12 1,076.12 5-Jul-19 19-915 REYES, LETICIA K. BLK52 LOT4 BUWAN-BUWAN ST. BRGY NBBS NAVOTAS - CITY - 951.25 951.25 5-Jul-19 19-916 SABAC, ERLINDA B. LOPEZ ST. BRGY SAN ISIDRO PARAÑAQUE CITY - - 2,830.95 2,830.95 5-Jul-19 19-917 SY, PERLA G. BRGY 226 TONDO MANILA - - 2,103.58 2,103.58 5-Jul-19 19-918 LOMBOY, JOEL J. BRGY 157 TONDO MANILA - - 5,241.64 5,241.64 5-Jul-19 19-919 VECINA, DEVINA C. BRGY LAMBAKIN MARILAO BULACAN - - 984.23 984.23 5-Jul-19 19-920 CACNIO, BENEDICTO D. BRGY DAMPALIT MALABON CITY - - 1,880.03 1,880.03 5-Jul-19 19-921 SABSALON, JERDAN P. LACSON ST. BRGY 97 TONDO MANILA - - 1,030.00 1,030.00 5-Jul-19 19-922 DE JESUS, KIM JEREBELLE D. BRGY 391 QUIAPO MANILA - - 1,764.92 1,764.92 5-Jul-19 19-923 CUADERNO, IMELDA N. BRGY PAG-ASA BINANGONAN RIZAL - - 2,608.58 2,608.58 5-Jul-19 19-924 SAQUINE, YANE W. BRGY 275 BINONDO MANILA - - 552.88 552.88 5-Jul-19 19-925 VARGAS, REYNALDO R. 2875 RIZAL AVE ST. BRGY 208 TONDO MANILA - - 3,525.45 3,525.45 6-Jul-19 19-926 LANZAROTE, ROBERT R. BRGY POTRERO MALABON CITY - - 1,486.80 1,486.80 6-Jul-19 19-927 SIBUG, JOHN KENNETH A. BRGY 265 TONDO MANILA - - 883.60 883.60 6-Jul-19 19-928 ARCANGEL, RODELIO M. BRGY 394 QUIAPO MANILA - - 1,060.00 1,060.00 6-Jul-19 19-929 GLOVA, LUZVIMINDA A. HEROES DEL 96 ST. BRGY 73 CALOOCAN CITY - - 113.05 113.05 6-Jul-19 19-930 SEGUIZA, ZOEY V. BRGY 61 TONDO MANILA - - 530.00 530.00 6-Jul-19 19-931 NAZARENO, VICTOR AUSTIN P. BRGY DALANDANAN VALENZUELA CITY - - 1,060.00 1,060.00 6-Jul-19 19-932 CENTENO, VICTOR -. BRGY 222 TONDO MANILA - - 2,145.13 2,145.13 6-Jul-19 19-933 ALVAREZ, AERO CASTIEL B. 2247 MOLAVE ST. BRGY 228 TONDO MANILA - - 110.50 110.50 6-Jul-19 19-934 GARCIA, JOHN MICHAEL M. DAPITAN ST. BRGY 507 SAMPALOC MANILA - - 383.40 383.40 6-Jul-19 19-935 ALMENCION, JANNET A. BRGY BIGANY VALENZUELA CITY - - 3,128.33 3,128.33 6-Jul-19 19-936 TACORDA, HAZEL -. 2834 TAMBINTING ST. BRGY 376 STA. CRUZ MANILA - - 1,918.34 1,918.34 6-Jul-19 19-937 ARUTA, ANGELYN B. BRGY HULUGAN TANZA CAVITE - - 940.00 940.00 6-Jul-19 19-938 VILLAMARTIN, DIANA ROSE D. BRGY 264 TONDO MANILA - - 340.00 340.00 6-Jul-19 19-939 BALDISIMO, PRINCE NATHAN G. BUILDING 3 UNIT 84 TEMPORARY HOUSING, ROAD 10 - ST. BRGY 105 TONDO - MANILA 720.00 720.00 6-Jul-19 19-940 REGALADO, JOHN EDWARD O. 1450 SEVERINO REYES ST. BRGY 327 STA. CRUZ MANILA - - 210.00 210.00 6-Jul-19 19-941 DELA CRUZ, DEANISSE ZHEYNHIE155 D. BINHAGAN ST. BRGY 129 CALOOCAN CITY - - 277.99 277.99 6-Jul-19 19-942 SORIANO, MA. VICTORIA F. 50 BADMINTO ST., LOPENA COMPOUND ST. BRGY SAN - ANTONIO PARAÑAQUE - CITY 1,005.44 1,005.44 6-Jul-19 19-943 OMBOY, ALLEN JHON LLOYD G. 686 FELINA EXTENSION ST. BRGY 429 SAMPALOC MANILA - - 774.42 774.42 6-Jul-19 19-944 QUINDOZA, SHANTAL KATE P. 1026 G-1 HERMOSA ST. BRGY 200 TONDO MANILA - - 660.29 660.29 6-Jul-19 19-945 NICERIO, JOULE B. 2029 SIMOUN ST. BRGY 494 SAMPALOC MANILA - - 360.00 360.00 6-Jul-19 19-946 AMAGO, RAYMARK B. 1667 SAN LAZARO ST. BRGY 337 STA. CRUZ MANILA - - 3,867.44 3,867.44 6-Jul-19 19-947 SANTOS, PRINCESS DIANA S. 0027 AC MOLINA ST. BRGY VENTERIALES VALENZUELA - CITY - 530.00 530.00 6-Jul-19 19-948 GERALDEZ, MICHAEL GLENN L. LOT 3 BLOCK 3 PHASE 3 ST. BRGY 14 DAGAT-DAGATAN - CALOOCAN CITY - 2,384.32 2,384.32 6-Jul-19 19-949 CABUENAS, MICHELLE A. BLOCK 12 LOT 27 PADAS ALLEY ST. BRGY 12 DAGAT-DAGATAN - CALOOCAN - CITY 757.64 757.64 6-Jul-19 19-950 RUSCO, MARY ROSE F. BLK 49 A LOT 18PHASE III EZ ALUPIHAN DAGAT ST. - BRGY LONGOS MALABON - CITY 6,056.27 6,056.27 6-Jul-19 19-951 RESURRECCION, RODOLFO P. 116 MORONG ST. BRGY 30 MAYPAJO CALOOCAN CITY - - 1,030.00 1,030.00 6-Jul-19 19-952 TEJADA, EMILIO JR M. 1618 P. GUEVARRA ST. BRGY 340 STA. CRUZ MANILA - - 3,827.86 3,827.86 6-Jul-19 19-953 DACLES, LORENZA M. UVIDANES ST. BRGY QUISAW PILILIA RIZAL - - 12,423.46 12,423.46 6-Jul-19 19-954 BALLESTEROS, JENNIFER E. 2016 MOLAVE ST. BRGY 221 TONDO MANILA - - 5,824.93 5,824.93 6-Jul-19 19-955 ESQUIVEL, ANGEL P. 1215 TAMBUNGTING ST. BRGY 374 STA. CRUZ MANILA - - 530.00 530.00 6-Jul-19 19-956 GALVEZ, RON RAPHAEL D. 387 LALLANA ST. BRGY 93 TONDO MANILA - - 538.59 538.59 6-Jul-19 19-957 LLEDO, JOEL G. BLK. 31 LOT 21 PHASE 1 GREEN ESTATE SUBD. ST. BRGY - MALAGASANG 1-G - IMUS CAVITE 8,968.52 8,968.52 6-Jul-19 19-958 CAJAYON, ARIEL C. BRGY MOLINO IV BACOOR CAVITE - - 11,491.56 11,491.56 6-Jul-19 19-959 CASTRO, VIRGINIA U. 425 S. DEL ROSARIO ST. BRGY 175 GAGALANGIN, 255.70 TONDO MANILA - 2,418.34 2,674.04 6-Jul-19 19-960 BINOYA, ELIZER JR R. 888 PATERNO ST., BALUT ST. BRGY 204 TONDO MANILA - - 1,123.45 1,123.45 6-Jul-19 19-961 MANUBEN, BRYAN E. 406 BLDG. -C STA. FE ST. ST. BRGY 118 RAWIS, TONDO - MANILA - 530.00 530.00 6-Jul-19 19-962 ESPIRITU, KEVIN G. BRGY PUTATAN CITY - - 622.17 622.17 6-Jul-19 19-963 DE LARA, SAMANTHA JHANE 303 TRINIDAD ST., VELASQUEZ, ST. BRGY 96 TONDO - MANILA - 2,350.00 2,350.00 6-Jul-19 19-964 MAATA, SOPHIA KIMBERLY P. 301 PARAISO ST. BRGY 97 TONDO MANILA - - 2,120.00 2,120.00 6-Jul-19 19-965 NARVARTE, RACQUEL R. 107 P BONIFACIO ST. BRGY 77 CALOOCAN CITY - - 15,888.52 15,888.52 6-Jul-19 19-966 YMASA, BEATRIZ D. B-15 L-11, LANDASCA, TORCILLO ST. BRGY 28 CALOOCAM - - 2,179.15 2,179.15 6-Jul-19 19-967 NAVARRO, RICARDO R. 1581 INT. 4 F. VARONA ST. BRGY 67 TONDO MANILA - - 601.87 601.87 6-Jul-19 19-968 GATUS, RICARDO JR. G. B51 L12 NORTHVILLE 4A ST. BRGY LAMBAKIN MARILAO - BULACAN - 1,475.54 1,475.54 6-Jul-19 19-969 MENDEZ, EFREN A. 1934 F. MA. GUERRERO, KATAMANAN ST. BRGY 231 - TONDO MANILA - 5,984.55 5,984.55

Page 16 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

6-Jul-19 19-970 LORENZANA, TERESITA B. 712 CORQUERA ST. BRGY 61 TONDO MANILA - - 550.00 550.00 6-Jul-19 19-971 BOSQUE, LILIA T. 456 RUBY VILLE ST. BRGY 160 BAESA QUEZON CITY - - 641.35 641.35 6-Jul-19 19-972 DE VERA, JANINE CARLA C. 2234 IPIL ST. BRGY 360 STA. CRUZ MANILA - - 1,292.47 1,292.47 6-Jul-19 19-973 PASCUA, JOFEL G. BLOCK 43 LOT 3 PUROK 4 ST. BRGY VICTORIA REYES - DASMARIÑAS CITY CAVITE - 1,146.74 1,146.74 6-Jul-19 19-974 CASTILLO, RHASME D. 15-B IGNACIO ST. BRGY 162 STA. QUITERIA CALOOCAN - CITY - 1,314.94 1,314.94 6-Jul-19 19-975 BARNACHEA, BENJAMIN T. 638 B99 MAYPAJO ST. BRGY 28 CALOOCAN CITY - - 3,590.00 3,590.00 6-Jul-19 19-976 BILLONES, MARIETO A. BRGY MAHABANG PARANG ANGONO RIZAL - - 3,463.10 3,463.10 6-Jul-19 19-977 NOVEDA, JOCELYN A. B1 L3 RAPELLES ST. BRGY DON BOSCO PARAÑAQUE - CITY - 1,771.54 1,771.54 6-Jul-19 19-978 PANSOY, EDWIN A. 45 PANAGKO, BAGONG BARRIO ST. BRGY 151 CALOOCAN - CITY - 2,350.00 2,350.00 6-Jul-19 19-979 CRUZ, TEODORA A. 142 SAN ANDRES ST. BRGY VALENZUELA - CITY - 1,118.75 1,118.75 6-Jul-19 19-980 VILLARUZ, PRINCESS ALIYAH P. 600 GOV PASCUAL ST. BRGY SAN ROQUE NAVOTAS 156.00 CITY - - 156.00 6-Jul-19 19-981 TOLENTINO, JOHN MARK Q. 29 ST, MANILA NORTH CEMETERY ST. BRGY 372 STA. - CRUZ MANILA - 2,588.29 2,588.29 6-Jul-19 19-982 VIRAY, RALPH DENVER R. 2906 F. TAMBUTING ST. BRGY 373 STA. CRUZ MANILA - - 1,079.94 1,079.94 6-Jul-19 19-983 GATMAITAN, AMOR C. 665 FELINA ST. BRGY 429 SAMPALOC MANILA - - 530.00 530.00 6-Jul-19 19-984 BERNARDO, MILAGROS C. 148-B IRIGA, LALOMA ST. BRGY SALVACION QUEZON - CITY - 2,350.00 2,350.00 6-Jul-19 19-985 DAYAO, MELLA GRACE 2629 D. INTERIOR 3 DAGUPAN EXT. ST. BRGY 164 194.60 TONDO MANILA - 634.05 828.65 6-Jul-19 19-986 MORENO, MARITES G. BLK 34 LOT 5 TORCILLO ST. BRGY 28 DAGAT-DAGATAN 330.55 CALOOCAN CITY - - 330.55 7-Jul-19 19-987 MACATUGGAL, ALJON E. 378 PAG-ASA ST. BRGY 183 TONDO MANILA - - 2,350.00 2,350.00 7-Jul-19 19-988 OCAMPO, MARY JANE B. NPC KAYBIGA ST. BRGY 166 CALOOCAN CITY - - 3,237.10 3,237.10 7-Jul-19 19-989 CAGATIN, RIEN MATTHEW A. 333 CORAL ST. BRGY 66 TONDO MANILA - - 2,350.00 2,350.00 7-Jul-19 19-990 ADRES, CINDY O. 550 TAGAYTAY ST. BAGONG BARRIO SAN JOSE ST. BRGY - 130 CALOOCAN CITY - 530.00 530.00 7-Jul-19 19-991 BUSCAY, ALOMA M. BRGY BAGAKAY ROMBLON ROMBLON - - 1,367.80 1,367.80 7-Jul-19 19-992 LACERNA, ROBEN B. STA JOSEFA ST. BRGY PUROK 7 AGUSAN DEL SUR MINDANAO - - 792.23 792.23 7-Jul-19 19-993 TEJOSO, ROBERTO C. 6078 MATIMYAS ST. BRGY GEN. T. DE LEON VALENZUELA - CITY - 2,308.98 2,308.98 7-Jul-19 19-994 LIWANAG, ZENAIDA G. 915 R. PAPA ST ST. BRGY 464 SAMPALOC MANILA - - 955.68 955.68 7-Jul-19 19-995 ARENDELA, NRAZEN R. 334 LLANA ST. BRGY 95 TONDO MANILA - - 898.98 898.98 7-Jul-19 19-996 ESTERNON, ELIZABETH B. 616 LK 1 LOT 43 TUPDA VILL. J FELIPE, SANGANDAAN - ST. BRGY 8 CALOOCAN - CITY 724.26 724.26 7-Jul-19 19-997 AQUINO, ROSA M. F. VARONA ST. BRGY 95 MANILA - - 3,546.49 3,546.49 7-Jul-19 19-998 CARLOS, FRANCISCA A. 101 P DUCOS ST. BRGY 306 QUIAPO MANILA - - 2,297.55 2,297.55 7-Jul-19 19-999 CORNEL, CRISPINA H. GATE 7 STA. TERESITA RIVERSIDE ST. BRGY STO NINO - PARAÑAQUE CITY - 772.75 772.75 7-Jul-19 19-1000 NATAL, ARNOLD J. 23 ST. BRGY SAN GABRIEL QUEZON CITY - - 490.61 490.61 7-Jul-19 19-1001 AZANZA, JAIRUSS O. 28 CAPOAS ST. BRGY MASAMBONG QUEZON CITY - - 1,324.28 1,324.28 7-Jul-19 19-1002 HIBAYA, PRECIOUS JIANE C. 67 ILANG ILANG ST. BRGY MAYSAN VALENZUELA CITY - - 2,050.12 2,050.12 7-Jul-19 19-1003 ALDAMERO, VICTOR F. BLK 5 LOT10 JASMINE ST. BRGY BALANKAS VALENZUELA - CITY - 2,051.85 2,051.85 7-Jul-19 19-1004 GELUA ,LELOUCH POTRERO MALABON CITY - - 550.00 550.00 7-Jul-19 19-1005 OCAMPO, ADELAIDA C. 1786 ANTONIO RIVERA ST. BRGY 234 TONDO MANILA - - 1,010.05 1,010.05 7-Jul-19 19-1006 GARCELLANO, RAMON B. 483 AGIDA ST. BRGY 701 MALATE MANILA - - 16,677.74 16,677.74 7-Jul-19 19-1007 LORICA, JAVIER JR. A. BLK 18N LOT12 ROSEWOOD VILL ST. BRGY TAGAPO - STA ROSA LAGUNA - 9,430.20 9,430.20 7-Jul-19 19-1008 REFORMADO, JOSEFINA N. BRGY CABUGAO BORDEYOS QUEZON - - 662.39 662.39 7-Jul-19 19-1009 LERIO, SALVINO M. 27 JR SAN LUIS ST. BRGY 13 CALOOCAN CITY - - 1,189.34 1,189.34 7-Jul-19 19-1010 PAZ, PETER ALFRED F. 1100 OLD ANTIPOLO ST. BRGY 228 TONDO MANILA - - 130.00 130.00 7-Jul-19 19-1011 BARRAMEDA, ANGEL IYA 2447 P. GUEVARRA ST. BRGY 364 STA. CRUZ MANILA - - 102.41 102.41 7-Jul-19 19-1012 HIPOS, DALMIE V. SITIO MALAWAK ST. BRGY GUYONG MEYCAUAYAN BULACAN - - 1,240.00 1,240.00 7-Jul-19 19-1013 ROMUALDO, ANGEL AUGUSTINE V.316 GLORIA ST. BRGY 34 MAYPAJO CALOOCAN CITY - - 2,366.12 2,366.12 7-Jul-19 19-1014 CHICO, LYRA MAE B. 11 BANANA RD ST. BRGY POTRERO MALABON CITY - - 823.63 823.63 7-Jul-19 19-1015 AÑONUEVO, CARINA H. 1429 A-TECSON ST. BRGY 209 TONDO MANILA - - 530.00 530.00 7-Jul-19 19-1016 PRIMAVERA, CRISTY R. 107 V. CRUZ, MALIBAY ST. BRGY 170 PASAY CITY - - 3,042.27 3,042.27 7-Jul-19 19-1017 DELEYBA, DELIA N. ROSE ST. BRGY HULUGAN 4 TANZA CAVITE - - 4,168.24 4,168.24 7-Jul-19 19-1018 FAJARDO, ADORACION C. 137 P JACINTO ST. BRGY 88 GRACE PARK CALOOCAN - CITY - 2,350.00 2,350.00 7-Jul-19 19-1019 FRANCISCO, ROMEO A. 16 CAMACHILE RD ST. BRGY POTRERO MALABON CITY - - 104.77 104.77 7-Jul-19 19-1020 BAJE, RENATO V. 2149 JOSE ABAD SANTOS ST. BRGY 231 TONDO MANILA - - 1,363.85 1,363.85 7-Jul-19 19-1021 RARAS, PRIMO E. 280 DINALAGA ST. BRGY 156 BAGONG BARRIO CALOOCAN - CITY - 5,850.21 5,850.21 7-Jul-19 19-1022 GAMEL, ARJAY D. 439 CAMP GREZAR ST. BRGY BAGBAG NOVALICHES QUEZON- CITY - 619.94 619.94 7-Jul-19 19-1023 CO , ANABELLE T. 4A FAUSTO MANOTOC SUBDIVISION ST. BRGY NONE - MARULAS VALENZUELA - 11,371.72 11,371.72 7-Jul-19 19-1024 CLAROS, CHRISTIAN L. B1 L15 ST. BRGY TAÑONG MALABON CITY - - 8,837.95 8,837.95 7-Jul-19 19-1025 AZANZA, MARIA 2 FELIPE ST. BRGY DAMAYAN FRISCO QUEZON CITY - - 2,525.00 2,525.00 7-Jul-19 19-1026 DOMINGO, RESSIE GRACE S. 103 YANGA ST. BRGY MAYSILO MALABON CITY - - 2,854.66 2,854.66 7-Jul-19 19-1027 NIDO, LEONILO D. 1953 INT. 8 JUAN LUNA ST. ST. BRGY 151 TONDO MANILA - - 8,316.07 8,316.07 7-Jul-19 19-1028 SUDARIO, REGINA S. B3 L8 SAMATADO TANIGUE ST. DAGAT-DAGATAN CALOOCAN - CITY - 10,120.87 10,120.87 7-Jul-19 19-1029 BERUAN, CHARITA C. BLK 8 LOT 13 EUSEBIO ST. BRGY GAWARAN MOLINO - 7 BACOOR CAVITE - 3,268.40 3,268.40 7-Jul-19 19-1030 AMAR, JEMMALYN G. 105 GRANDEZA ST. BRGY 37 CNAME CALOOCAN CITY - - 110.78 110.78

Page 17 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

7-Jul-19 19-1031 RAMOS, JOLINDA S. DULONG HABAY II ST. BRGY NONE BACOOR CAVITE - - 3,349.34 3,349.34 7-Jul-19 19-1032 VISTAL, ANGELO C. 22 EXPLORER ST. BRGY MOONWALK LAS PINAS - - 5,317.46 5,317.46 7-Jul-19 19-1033 ACEBEDO, LEAH N. MARKET ROAD ST. BRGY BUROL MAIN DASMARIÑAS - CAVITE - 4,411.94 4,411.94 7-Jul-19 19-1034 ORGANIS, MERCEDES B. 1606 QUIRICADA ST. BRGY 334 STA. CRUZ MANILA - - 956.00 956.00 7-Jul-19 19-1035 EBALLAR, DOMINICK S. 1631 INT 15 F VARONA ST. BRGY 80 TONDO MANILA - - 1,060.00 1,060.00 7-Jul-19 19-1036 RAMOS, JOLINDA S. DULONG HABAY II ST. BRGY NONE BACOOR CAVITE 1,051.00 - - 1,051.00 7-Jul-19 19-1037 LUNA, NORMA A. 8 MULAWIN ST. BRGY PANGHULO MALABON CITY - - 953.96 953.96 7-Jul-19 19-1038 BAUTISTA, MA. CORAZON N. BLK 23 LOT 17 GOLDEN VILLE 1 ST. BRGY SABANG DASMARIÑAS - CAVITE - 15,766.25 15,766.25 7-Jul-19 19-1039 ABIAN, RAQUEL D. GATCHALIAN SUBD. ST. BRGY BANAYBANAY CABUYAO - LAGUNA - 41,901.54 41,901.54 7-Jul-19 19-1040 ALBAN, ASHTON GABRIELLE L. 1872 F. VARONA ST. BRGY 95 TONDO MANILA - - 2,650.00 2,650.00 7-Jul-19 19-1041 BUENAVENTURA, RIO B. BLK 2 LOT 7 SMC-HOA ST. BRGY SITIO 6 CATMON MALABON - CITY - 79,333.37 79,333.37 7-Jul-19 19-1042 MAGBITANG, RUSSEL S. 1208 TAMBUNTING ST. BRGY 374 STA. CRUZ MANILA - - 530.00 530.00 7-Jul-19 19-1043 DEL PILAR, LOLITA P. 823 REINA REGENTE ST. BRGY 292 BINONDO MANILA - - 819.20 819.20 7-Jul-19 19-1044 LICUDAN, KING NOLBERT M. 2646 LICO ST. BRGY 210 TONDO MANILA - - 1,420.00 1,420.00 7-Jul-19 19-1045 SABANAL Jr., JOHNSTON V. 2908 DAGUPAN ST. BRGY 184 ZONE 16 TONDO MANILA - - 5,099.30 5,099.30 7-Jul-19 19-1046 GUMABOL, REJJIE CARLO BRGY POBLACION SANTOL LA UNION - - 826.75 826.75 6-Jul-19 19-1047 DOMINGO, RUFINO C. 500 CARAAN ST. BRGY BAGBAG NOVALICHES QUEZON 1,324.50 CITY - - 1,324.50 7-Jul-19 19-1048 SAHAGON, JOSHUA P. B51, L14, PH3, F2 ST. BRGY 8 DAGAT-DAGATAN CALOOCAN - CITY - 2,650.00 2,650.00 7-Jul-19 19-1049 CATAROS, JOHN IVAN D. BRGY SAN ISIDRO CAMOTES, PILAR CITY - - 9,937.05 9,937.05 7-Jul-19 19-1050 RANIZ, FEDERICO M. AREA 5 SITIO PINALAGAD ST. BRGY MALINTA VALENZUELA1,509.00 CITY - 2,143.66 3,652.66 7-Jul-19 19-1051 ANASTACIO, JOHN RONDEL M. 905 ALGECIRAS ST. BRGY 473 SAMPALOC MANILA - - 406.20 406.20 7-Jul-19 19-1052 ABAD, BLAIRE KAIZER 401 C. PERLA ST. BRGY 12 TONDO MANILA - - 4,250.00 4,250.00 7-Jul-19 19-1053 SALAMAT, MAXIMO F. 1301 TORRES BUGALLON ST. BRGY 212 TONDO MANILA - - 608.00 608.00 7-Jul-19 19-1054 CERVANTES, GENEVIE G. 105 A. REMIGIO ST. BRGY MAYSILO MALABON CITY - - 2,350.00 2,350.00 7-Jul-19 19-1055 OSWA, JAYSON C. 31 C. BAYANI ST. BRGY DONA AURORA QUEZON CITY - - 370.00 370.00 7-Jul-19 19-1056 ROSAUPAN, JOHN MARK C. 12F INDUSTRIA ST. BRGY TUGATOG MALABON CITY - - 2,545.31 2,545.31 7-Jul-19 19-1057 BALEÑA, AILYN A. AREA HEAVEN GK COMP. HAPPY LAND ST. BRGY 105 - TONDO MANILA - 2,016.34 2,016.34 8-Jul-19 19-1058 SATORRE, JOHN D. 68 ALMAZOR ST. BRGY MARICABAN PASAY CITY - - 1,446.03 1,446.03 8-Jul-19 19-1059 PASTORITE, JOEL O. BLK 1A, SAMATAD CMPD. ST. BRGY 14 DAGAT-DAGATAN - CALOOCAN CITY - 890.00 890.00 8-Jul-19 19-1060 BERBANO, ROMEL M. 1708 VELASQUEZ ST. BRGY 82 TONDO MANILA - - 720.00 720.00 8-Jul-19 19-1061 LUNANON, LAZEL M. 148 MABIKAS ST. BRGY 145 BAGONG BARRIO CALOOCAN - CITY - 1,109.24 1,109.24 8-Jul-19 19-1062 GUILLEN, RONNIE L. 66 TANGKE ST. BRGY MALINTA VALENZUELA CITY - - 2,560.67 2,560.67 8-Jul-19 19-1063 SANCHEZ, ENRIQUE U. VILLA MONSERAT ST. BRGY DOLORES TAYTAY RIZAL - - 1,855.00 1,855.00 8-Jul-19 19-1064 FERRER, REYNALDO C. 2448 GAPAN ST. ST. BRGY 172 TONDO MANILA 1,807.45 - - 1,807.45 8-Jul-19 19-1065 CASTILLO, ALEX R. 2232 F. NARRA ST. BRGY 227, ZONE 21 TONDO 2,991.00MANILA - - 2,991.00 8-Jul-19 19-1066 MARMOL, CHRISTIAN JOY G. 20A DEATO ST. BRGY MARULAS VALENZUELA CITY - - 1,702.25 1,702.25 8-Jul-19 19-1067 ARCEO, RICARDO F. 2415 ALMEDA EST ST. BRGY 219 TONDO MANILA 850.50 - - 850.50 8-Jul-19 19-1068 LACSON J.R., JOSE B. 257 HUMABON ST. BRGY 103 MAGSAYSAY VILL. TONDO565.50 MANILA - - 565.50 8-Jul-19 19-1069 NAVARRO, RYAN T. UNIT 508 BLDG 30 PERMANENT HOUSING ST. BRGY 95.20 128 TONDO MANILA - - 95.20 8-Jul-19 19-1070 SEGUBRE, ROMEO D. BLK30 LOT5 GEN ORDONEZ ST. ST. BRGY CONCEPCION 754.50 MARIKINA HEIGHT - MARIKINA CITY - 754.50 8-Jul-19 19-1071 BERNALTE, WILMA E. #08 SOCEIGO ST. BRGY TINAJEROS MALABON 1,729.50CITY - - 1,729.50 8-Jul-19 19-1072 PUNZALAN, ELEONOR N. 1736 M. NATIVIDAD ST. ST. BRGY 334 STA. CRUZ MANIL - 3,420.00 - 3,420.00 8-Jul-19 19-1073 REYES, EFREN L. BLK 18 LOT 22 GOLDEN HILLS ST. BRGY SAN VICENTE 1,099.80 STA. MARIA BULACAN - - 1,099.80 8-Jul-19 19-1074 SAPNO, ROBERTO G. 782 K. INT. 1 SOLIS ST. BRGY 165 TONDO MANILA - 900.00 - 900.00 8-Jul-19 19-1075 DE GUZMAN, VERONICA G. 106 METOM ST. BRGY COMMONWEALTH QUEZON 7,098.00 CITY - - 7,098.00 8-Jul-19 19-1076 BULAGNER, RICA C. 580 KAHANDING ST. BRGY 91 TONDO MANILA - 4,000.00 - 4,000.00 8-Jul-19 19-1077 PLASTICO, ROGENA M. 064 BLOCK 1 ELECTRICAL ROAD ST. BRGY 191 MANILA - DOMESTIC AIRPORT - PASAY CITY 1,665.77 1,665.77 8-Jul-19 19-1078 SINCO, RACHELLE B. BLK 2 LOT 42 PH4 FLOVI HOMES 1 ST. BRGY TONSUYA - LETRE MALABON CITY - 1,112.80 1,112.80 8-Jul-19 19-1079 OCADO, EUFRONIO A. PUROK 3 ISLA PUTING BATO ST. BRGY 20 TONDO MANILA - - 1,841.11 1,841.11 8-Jul-19 19-1080 VIRATA, MIRIAM B. 51 TALAKITOK ST. BRGY 20 KAUNLARAN VILL 1,134.00CALOOCAN CITY - - 1,134.00 8-Jul-19 19-1081 ROSIALDA, OLIVER N. 37 QUINTOS ST. BRGY SAN JOSE NAVOTAS CITY 80.25 - - 80.25 8-Jul-19 19-1082 PAGUIRIGAN, BENJAMIN D. 67 SIMEON DOON CMPD. KARUHATAN, VALENZUELA 850.50 CITY - - 850.50 8-Jul-19 19-1083 OBINGA, FREDERICK D. 2527 PASIG LINE ST. BRGY 776 STA. ANA MANILA - - 530.00 530.00 8-Jul-19 19-1084 GONZALES, EMERITO G. 1986-C KATAMANAN ST. BRGY 222 TONDO MANILA 754.50 - - 754.50 8-Jul-19 19-1085 GAVINA, JOHN ARIEL C. 235 HONORIO LOPEZ ST. BRGY 235 TONDO MANILA 565.50 - - 565.50 8-Jul-19 19-1086 YABUT, TEODORO F. 30 C. CORDERO ST. BRGY 44 3RD AVE CALOOCAN 273.00 CITY - - 273.00 8-Jul-19 19-1087 REYES, JOSEPHINE V. 324 SAN ROQUE ST. BRGY 118 TONDO MANILA 565.50 - - 565.50 8-Jul-19 19-1088 ZAMORA, VERATA I. 39 STA. BARBARA ST. BRGY GULOD NOVALICHES QUEZON - CITY 130.00 - 130.00 8-Jul-19 19-1089 NUGA, PRINCESS FERRY M. 164 VELASCO ST. BRGY 7 SANGDAAAN CALOOCAN CITY - - 2,647.15 2,647.15 8-Jul-19 19-1090 STA. MARIA, ANTONIO T. 30 INAMAN ST. BRGY MASAMBONG QUEZON CITY - 2,400.00 - 2,400.00 8-Jul-19 19-1091 ONIADA, RANDY T. B16 L55 VERDE ST ST. BRGY KAYPIAN BULACAN - 1,080.00 - 1,080.00

Page 18 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

8-Jul-19 19-1092 GUERRERO, ELIZABETH M. PUROK 6 ST. BRGY TIGNOAN REAL QUEZON 15,506.40 - - 15,506.40 8-Jul-19 19-1093 ARLIE LVIN GACIAS NAVOTAS CITY - 1,170.00 - 1,170.00 8-Jul-19 19-1094 DOMINGO, GENOVEVA D. P2 SAN JUAN HAGONOY BULACAN 7,098.00 - - 7,098.00 8-Jul-19 19-1095 MALAYAN, GIRLIE D 38 DONESA ST. CANUMAY WEST VALENZUELA 7,098.00CITY - - 7,098.00 8-Jul-19 19-1096 BELAMIDE , CRISTETA M. 1933 TIOCO ST. BRGY 91 TONDO MANILA 1,729.50 - - 1,729.50 8-Jul-19 19-1097 MANGUNE, EDUARDO G. 1933 TIOCO ST. BRGY 91 TONDO MANILA 889.50 - - 889.50 8-Jul-19 19-1098 REYES, SHIRLEY A. BLK 38 LOT21 PH3 F1 ST. BRGY 12 DAGAT- DAGATAN - CALOOCAN CITY 900.00 - 900.00 8-Jul-19 19-1099 BALTAR, JASMIN G. 63 GERODIAS ST. BRGY SAN VICENTE SAN PEDRO LAGUNA - - 116.74 116.74 8-Jul-19 19-1100 SANTOS, LUNINGNING M. 1652 E ANTONIO RIVERA ST. BRGY 239, ZONE 22 754.50 TONDO MANILA - - 754.50 8-Jul-19 19-1101 TARCENA, ROCELYN A. 66 BURGOS ST. BRGY CONCEPCION MALABON CITY - 325.00 - 325.00 8-Jul-19 19-1102 BOLOSEÑO, WILFREDO D. STA. CECILIA SAN ANTONIO VALLEY I ST. BRGY NONE - SUCAT PARAÑAQUE 4,000.00 - 4,000.00 8-Jul-19 19-1103 AMARANTE, KIMBERLY M. 165 BAYANIHAN ST. BRGY 152 BAGONG BARRIO CALOOCAN - CITY - 1,430.00 1,430.00 8-Jul-19 19-1104 PEREZ, ARSENITA I. 914 MURILLO ST. BRGY 393 QUIAPO MANILA 754.50 - - 754.50 8-Jul-19 19-1105 DELA CHICA, EDGARDO P. 442 PRUDENCIO ST. BRGY 444 SAMPALOC MANILA 1,807.45 - - 1,807.45 8-Jul-19 19-1106 KIUNISALA, MARK ANTHONY L. PHASE 3 BLK 5 LOT 6 FBR ST. BRGY POBLACION 946.71GMA CAVITE - - 946.71 8-Jul-19 19-1107 VENTURA, LEOPOLDO JR. E. 518 DELPAN ST. BRGY 283 BINONDO MANILA - - 2,120.00 2,120.00 8-Jul-19 19-1108 REYES, ALMA S. 208 EL DULO ST ST. BRGY SAN VICENTE PAOMBONG - BULACAN - 5,550.70 5,550.70 8-Jul-19 19-1109 VILLEZA, ALICIA T. 1251-C TAMBUNTING ST. BRGY 373 STA. CRUZ MANILA 105.60 - - 105.60 8-Jul-19 19-1110 GIGANTE, ADRIAN O. BLK34 C LOT29 PH2 AREA2 ST. BRGY NBBS KAUNLARAN - VILLAGE NAVOTAS - CITY 2,400.53 2,400.53 8-Jul-19 19-1111 GINAY, CIRILO B. 13 C4 ROAD ST. BRGY TAÑONG MALABON CITY - 960.00 - 960.00 8-Jul-19 19-1112 AQUINO, ROSA M. 1948 F.VARONA ST. BRGY 95 TONDO MANILA - - 1,342.42 1,342.42 8-Jul-19 19-1113 ALEJANDRO, JACINTO J. 04 DALIGAN JONES ST. BRGY USUL ISABELA - 455.00 - 455.00 8-Jul-19 19-1114 ATON, JHUNMAR 178 PINGKASIN 8-A PASING DAMON QUEZON CITY 1,365.00 - - 1,365.00 8-Jul-19 19-1115 ANTONI, AGUIEDA R. BRGY CABATIANUHAN SAN MIGUEL LEYTE - - 2,331.01 2,331.01 8-Jul-19 19-1116 PANUSTAN, LEONORA P. PUROK 5 ST. BRGY SAN PABLO HAGONOY BULACAN 7,098.00 - - 7,098.00 8-Jul-19 19-1117 MARA, MARY GRACE T. 1955-C TOMAS MAPUA ST. BRGY 353 STA. CRUZ MANILA946.71 - - 946.71 4-Jul-19 19-1118 BELIZARIO, JOSEPH B. BRGY MARKET AREA STA ROSA LAGUNA - - 163.86 163.86 4-Jul-19 19-1119 JAGONOY, JONIE G. BRGY TARTARIA SILANG - - 6,882.61 6,882.61 8-Jul-19 19-1120 SIERRA, DAIN LIZEL N. FLOVI 8 ST. BRGY TONSUYA LETRE ROAD MALABON 754.50 CITY - - 754.50 8-Jul-19 19-1121 PEPITO, MARIEL B. 015 ST. BRGY MARINIG CABUYAO LAGUNA - - 12,087.47 12,087.47 8-Jul-19 19-1122 LAQUI, MAHRK ANTHONY D. 832 OROQUETA ST. BRGY 310 STA. CRUZ MANILA - - 29,627.00 29,627.00 8-Jul-19 19-1123 SOLIS EDEN 190 B 21 ST AVE EAST KEMBO, MAKATI 9,972.00 - - 9,972.00 8-Jul-19 19-1124 MAGLONZO, REYNA GRACE R. 471 CORCUERA ST. BRGY 82 TONDO MANILA 95.20 - 218.38 313.58 8-Jul-19 19-1125 UGADAN, CATHERINE M. 1972 G.PERFECTO ST. BRGY 156 TONDO MANILA - - 370.30 370.30 8-Jul-19 19-1126 PADUA, AMELIA D. BLDG 14 ROOM 1 SOCIALIZED HOUSING ST. BRGY 861.00 TANZA NAVOTAS CITY - - 861.00 8-Jul-19 19-1127 ROBLES, DOLORES J. 128 PUROK 2 ST. BRGY BAGONG BAYAN MALOLOS 3,324.00 BULACAN - - 3,324.00 8-Jul-19 19-1128 RABINO, LUZVIMINDA BRGY PRENZA 2 MARILAO BULACAN 7,098.00 - - 7,098.00 8-Jul-19 19-1129 DAWANA, DANTE G. 75 N.D. GALICIA STREET, ST. BRGY MAYSAN VALENZUELA - CITY - 88,582.25 88,582.25 8-Jul-19 19-1130 SANTELICES, NATHANIA LOUISE D.103 YANGA ST. BRGY MAYSILO MALABON CITY - - 6,722.55 6,722.55 8-Jul-19 19-1131 DELA CRUZ, ROSARIO C. 0265 MELENCIO EXT. ST. BRGY KAPITAN PEPE 7,098.00 CABANUTUAN - - 7,098.00 8-Jul-19 19-1132 FERNANDEZ, JOVITA N. 130 PROGRESO ST. BRGY 141 BAGONG BARRIO CALOOCAN - 650.00 - 650.00 8-Jul-19 19-1133 CARLOS, JEVELYN B. 1362 NARCISA RIZAL ST. BRGY 250 TONDO MANILA 429.00 - - 429.00 8-Jul-19 19-1134 ISIP, MERCIDITA K. 023 FLORANTE ST. BRGY PANGINAY BALAGTAS 7,098.00 BULACAN - - 7,098.00 8-Jul-19 19-1135 DE LEON, VILMA P. 732 ALDAMA ST. BRGY STA. BARBARA BALIUAG BULACAN - 11,000.00 - 11,000.00 8-Jul-19 19-1136 DELOS REYES, LORETA C. BRGY MATABANG TUBIG BALIWAG BULACAN 7,098.00 - - 7,098.00 8-Jul-19 19-1137 DAVID, CIELITO Z. MCARTHUR ST. BRGY BUROL I BALAGTAS BULACAN - 14,000.00 - 14,000.00 8-Jul-19 19-1138 PANES, ALAN J. BRGY BIJIA CALIBUYO TANZA CAVITE - - 4,970.00 4,970.00 8-Jul-19 19-1139 DONOGA, MELVIN M. B8,L2, SAINT MARKVILLE ST. BRGY TALON UNO LAS - PINAS - 5,925.47 5,925.47 8-Jul-19 19-1140 AMARANTE, KIMBERLY M. 165 BAYANIHAN ST. BRGY 152 BAGONG BARRIO CALOOCAN - CITY - 2,985.19 2,985.19 8-Jul-19 19-1141 GALARIAN, LEINE F. 1465 D. JOSE ST. BRGY 313 STA. CRUZ MANILA - - 1,590.00 1,590.00 8-Jul-19 19-1142 DUMAG, JANNETH I. BLK2 LOT15 CARISA2 ST. BRGY CAIPIHAN PALMERA - HOMES,SAN JOSE DDEL - MONTE BULACAN 890.00 890.00 8-Jul-19 19-1143 BREGENTE, ZENAIDA C. 32 ADIA ST. BRGY BAGUMBAYAN TAGUIG CITY - - 3,155.35 3,155.35 8-Jul-19 19-1144 OSIAS, RICHARD B. 31 GITNA ST. BRGY APOLONIO SAMSON KAINGIN BUKID - QUEZON CITY - 1,431.59 1,431.59 8-Jul-19 19-1145 MITRE, FRANCISCA B. 0360 2ND AVE. ST. BRGY 120 CALOOCAN CITY - - 1,515.00 1,515.00 8-Jul-19 19-1146 NERVAR JR, MANUELITO B. 964 VICENTE CRUZ ST. BRGY 475 SAMPALOC MANILA - 1,320.00 - 1,320.00 8-Jul-19 19-1147 LAMADRID, AKIRA C. OLD BARRIO ST. BRGY BIGTE NORZAGARAY BULACAN - - 130.00 130.00 8-Jul-19 19-1148 SAN MIGUEL, BRYAN Z. 195 T. MARILAO ST. BRGY 35 MAYPAJO CALOOCAN - CITY - 6,126.89 6,126.89 8-Jul-19 19-1149 MANALANG, MARIA LUISA B. 237 LALLANA ST. BRGY 104 TONDO MANILA - - 2,943.13 2,943.13 8-Jul-19 19-1150 MANALANG, ROWIE B. 237 LALLANA ST. BRGY 104 TONDO MANILA - - 778.29 778.29 8-Jul-19 19-1151 JOSE, JUANITA L. 127 ABES CMPD. ST. BRGY 5 SANGANDAAN CALOOCAN - CITY - 1,236.74 1,236.74 8-Jul-19 19-1152 DALUSONG, EURI KIM S. 1172 E TAYUMAN ST. BRGY 235 TONDO MANILA - - 572.89 572.89

Page 19 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

8-Jul-19 19-1153 SEVILLA, MA. JEANALYN F. 133 LIBIS TALISAY ST. BRGY 12 CALOOCAN CITY - - 2,781.20 2,781.20 8-Jul-19 19-1154 AUSTRIA, JIMMY P. 1369 B. QUIRICADA ST. BRGY 331 STA. CRUZ MANILA - - 1,316.00 1,316.00 8-Jul-19 19-1155 BASCARA, SALVE C. 1207 P. SORIANO ST. BRGY 45 TONDO MANILA - - 360.00 360.00 8-Jul-19 19-1156 MACATANGAY, RODRIGO D. 3063 INT. 1 CORDILLERA, BACOOD ST. BRGY NONE STA. - MESA MANILA - 824.00 824.00 8-Jul-19 19-1157 TORRALBA, MARY JOY R. PH.4 PKG.4 BLK. 5 LOT13 ST. BRGY 176 BAGONG SILANG - CALOOCAN CITY - 1,600.00 1,600.00 8-Jul-19 19-1158 AMISTAD, FEDERICO E. PH. 2 BLK. 10 LOT 37 FVR ST. BRGY POBLACION GMA - CAVITE - 1,631.80 1,631.80 8-Jul-19 19-1159 PERALTA, NEIL B. 2224 M. F. REY ST. BRGY 96 VITAS TONDO MANILA - - 1,590.00 1,590.00 8-Jul-19 19-1160 MENDOZA, JOSEFINA B. UNIT 10 I TOWER 2 CELADON PARK SAN LAZARO 1,165.70 COMP. FELIX HUERTAS ST.- BRGY 350 STA. CRUZ - MANILA 1,165.70 8-Jul-19 19-1161 BAÑAGA, JOSEPINA L. PUROK 3 ZONE 8 CUPANG ST. BRGY NONE ANTIPOLO - CITY - 1,216.97 1,216.97 9-Jul-19 19-1162 DELA RONA, MARITESS F. BLK. 11 LOT 2 ST. BRGY LANGKIWA BIÑAN LAGUNA - - 2,350.00 2,350.00 9-Jul-19 19-1163 PANALIGAN, EDITHA E. 815 BENNY ST. BRGY 527 SAMPALOC MANILA - - 720.00 720.00 9-Jul-19 19-1164 LACABA, AILEEN B. 5024 OROQUIETA ST. BRGY 354 STA. CRUZ MANILA - - 463.79 463.79 9-Jul-19 19-1165 DE GUIA, JOSE D. 627 V. ALINDADA ST. BRGY 535 SAMPALOC MANILA - - 1,737.61 1,737.61 9-Jul-19 19-1166 IFURUNG, JERALD T. 45 GEN. MALVAR ST. BRGY 137 BAGONG BARRIO CALOOCAN - CITY - 530.00 530.00 9-Jul-19 19-1167 PINEDA, MARY JANE M. 2110 MAKATA ST. BRGY 358 STA CRUZ MANILA - - 1,219.88 1,219.88 9-Jul-19 19-1168 ACER, SAIWE P. 1283 INT. 22 TAMBUNTING ST. BRGY 375 STA. CRUZ - MANILA - 1,195.00 1,195.00 9-Jul-19 19-1169 SAJONA, MARK CEL 1978 G. PERFECTO ST. BRGY 157 TONDO MANILA - - 2,382.85 2,382.85 9-Jul-19 19-1170 GARCIA J.R., ERNESTO N. 2517 KARAPATAN ST. BRGY 372 STA. CRUZ MANILA - - 334.72 334.72 9-Jul-19 19-1171 KATAYAMA, HIROAKI V. 4735 CUANGCO ST. BRGY PIO DEL PILAR MAKATI - - 2,480.00 2,480.00 9-Jul-19 19-1172 SALAZAR, RICA MARIE S. 108 PACHECO EXT. ST. BRGY 116 TONDO MANILA - - 720.00 720.00 9-Jul-19 19-1173 LAWAGON, NECIAS M. BRGY INCHICAN SILANG CAVITE - - 163.05 163.05 9-Jul-19 19-1174 CASTILLO, EDUARDO C. 439 ST. BRGY PINAGBARILAN BALIUAG BULACAN - 2,400.00 - 2,400.00 9-Jul-19 19-1175 LAGUARDIA, MELCHOR L. 1026 G.I. HERMOSA ST. BRGY 200 MANUGUID, TONDO - MANILA - 985.00 985.00 9-Jul-19 19-1176 DELOS REYES, ARMANDO M. 1319 LOT 19 KASARINLAN VILLAGE ST. BRGY 28 587.00 CALOOCAN CITY - - 587.00 9-Jul-19 19-1177 CABAYA, JACQUELINE C. L-6 SHELL HOUSE ST. BRGY 12 CALOOCAN CITY - - 1,475.00 1,475.00 9-Jul-19 19-1178 CARDOZA, MARK GERVIN C. 28 MILAGROSA ST. BRGY 150 BAGONG BARRIO CALOOCAN - CITY - 1,234.00 1,234.00 9-Jul-19 19-1179 ORTIZ, ALAN D. 80 L.LUPIA ST. BRGY 32 MAYPAJO CALOOCAN CITY 850.50 - - 850.50 9-Jul-19 19-1180 CABUHAY, VENANCIA A. BLK 2 LOT 28 PULO BAUTISTA ST. BRGY PANGHULO - MALABON CITY 1,080.00 - 1,080.00 9-Jul-19 19-1181 BATANGAN, VILLAMOR G. 21 MELBOURNE ST. BRGY LINGUNAN VALENZUELA 1,712.50 CITY - - 1,712.50 9-Jul-19 19-1182 CABUHAY, VENANCIA A. BLK 2 LOT 28 PULO BAUTISTA ST. BRGY PANGHULO 1,771.50 MALABON CITY - - 1,771.50 9-Jul-19 19-1183 ESPINAS, WILFREDO L. B7 L17 PH B WOODLANE SUBD ST. BRGY MALAGASANG 7,854.00 IMUS CAVITE - - 7,854.00 9-Jul-19 19-1184 CALLOS, MONICA H. 99 BANANA ROAD ST. BRGY POTRERO MALABON - 1,500.00 - 1,500.00 9-Jul-19 19-1185 DAMAYO, AVELINO V. BLK C11 LOT7 ST. BRGY SAN SIMON DASMA CAVITE 6,942.00 - - 6,942.00 9-Jul-19 19-1186 VIJANDRE , PRISCILLA A. 366 VELASQUEZ ST. BRGY 93,. ZONE 8 TONDO MANILA 754.50 - - 754.50 9-Jul-19 19-1187 SALES, CLARK KENNETH M. 107 D. ALGER ST. BRGY 41 2ND AVENUE, GRACE 435.25 PARK CALOOCAN CITY - - 435.25 9-Jul-19 19-1188 ADILANTADO, ROSEMARIE G. 215 SITIO 6 BAGONG SILANG ST. BRGY CATMON 503.30 MALABON CITY - - 503.30 9-Jul-19 19-1189 GERONGCA, QUINCES JHERLYN F. 115 UGNATAN ST. BRGY CONCEPCION MALABON CITY - - 890.00 890.00 9-Jul-19 19-1190 GASACAO, LOLITA B. 3 MANONGGAL ST. BRGY TATALON QUEZON CITY - 500.00 - 500.00 9-Jul-19 19-1191 FAUSTO, RICARDO Y. 118 PINEAPPLE ROAD ST. BRGY POTRERO MALABON 1,552.50 CITY - - 1,552.50 9-Jul-19 19-1192 DE GUZMAN, ROWENA G. 1447 JUAN LUNA ST. BRGY 59 TONDO MANILA 754.50 - - 754.50 9-Jul-19 19-1193 MARTIN, EDUARDO O. 46 DALANDA ST ST. BRGY 142 BAGONG BARRIO CALOOCAN850.50 CITY - - 850.50 9-Jul-19 19-1194 DE GUZMAN, BETTY G. 1447 JUAN LUNA ST. BRGY 59, ZONE 5 TONDO MANILA 754.50 - - 754.50 9-Jul-19 19-1195 TADEO, LUISITO A. 52 GABROCINO ST. BRGY 142 CALOOCAN CITY 850.50 - - 850.50 9-Jul-19 19-1196 GANITUEN, BERNADETTE M. 180 GENERAL MASCARDO ST. BRGY NONE BAGONG 312.00 BARRIO CALOOCAN - - 312.00 9-Jul-19 19-1197 PAEL, DAISY M. 207 CELIA II ST. BRGY BAYAN BAYANAN MALABON - CITY 325.00 - 325.00 9-Jul-19 19-1198 ARIMADO, CRISANTA P. 42 GEN. MALVAR B. BARRIO ST. BRGY 137 CALOOCAN 754.50 CITY - - 754.50 5-Jul-19 19-1199 Oliva, Grace BLK12 LOT34 PH2 CHERRY HOMES ST. BRGY MAMBOG - I BACOOR CAVITE - 9,875.19 9,875.19 5-Jul-19 19-1200 SANOY, BERNIE 431 DIAMANTE ST. BRGY BARIHAN MALOLOS BULACAN - - 25,308.00 25,308.00 9-Jul-19 19-1201 CASIDSID, EVELYN R. 1281 INT 58 TAMBUNTING ST. ST. BRGY 373 STA 956.95 CRUZ MANILA - - 956.95 5-Jul-19 19-1202 HERNANDEZ, SHARLENE SAN ROQUE, GAPAN CITY NUEVA ECIJA 84,662.40 - - 84,662.40 9-Jul-19 19-1203 MARQUEZ, REMEDIOS P. 560 CORCUERA ST. BRGY 77 TONDO MANILA 754.50 - - 754.50 9-Jul-19 19-1204 LOY, MARILYN N. 2755 PAULINO ST. BRGY 135 BALUT TONDO MANILA 214.50 - - 214.50 9-Jul-19 19-1205 EGUIA, YOLANDA R. 17 D ALUPIHANG DAGAT ST. BRGY LONGOS MALABON 1,159.40 CITY - - 1,159.40 9-Jul-19 19-1206 ALAMAG, YVONE S. 240 TAMPOY II, TELECOM COPMP ST. BRGY MARULAS 870.70 VALENZUELA CITY - - 870.70 9-Jul-19 19-1207 BAUTISTA, DANILO B. 104 USUSAN MARCELA ST. BRGY 27, ZONE 2 CALOOCAN - CITY 250.00 - 250.00 9-Jul-19 19-1208 MAGBITANG, ROEL B. 109 G. P DEL PILAR ST. ST. BRGY -- - CALOOCAN CITY - 4,800.00 - 4,800.00 9-Jul-19 19-1209 TORRES, DORIS T. B20, L6 PH2 AREA 4 ST. BRGY LONGOS MALABON - 1,680.00 - 1,680.00 9-Jul-19 19-1210 TOLENTINO, FLORENTINA R. 68 ANTIPOLO ST. BRGY NONE MAYPAJO CALOOCAN 2,587.00 CITY - - 2,587.00 9-Jul-19 19-1211 MALATE, KHAILYN C. 260 INTERIOR I, DAYAO ST. BRGY 129 TONDO MANILA - 500.00 - 500.00 9-Jul-19 19-1212 HONTO, GINALYN M. 112-108 ST. BRGY LIGAS 1 BACOOR CAVITE - - 1,973.90 1,973.90 9-Jul-19 19-1213 OMAWAS, PRIMO RALPH 334 MARULAS A. ST. BRGY 36 CALOOCAN CITY 7,098.00 - - 7,098.00

Page 20 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

9-Jul-19 19-1214 DE LEON, ANALYN S. 1107 QUIRICADA ST. BRGY 237 TONDO MANILA 2,587.00 - - 2,587.00 9-Jul-19 19-1215 DONATO, LEONORA BRGY POGOMBOA AGUILAR PANGASINAN 2,587.00 - - 2,587.00 9-Jul-19 19-1216 CALLEJA, ANITA S. 19 ESPIRITU ST. BRGY TINAJEROS MALABON CITY 429.00 - - 429.00 9-Jul-19 19-1217 CAJUDAY, EVELYN B. 94 LORERTO ST. BRGY 418 SAMPALOC MANILA 565.50 - - 565.50 9-Jul-19 19-1218 OBEÑA, AMALIA D. BRGY STO. TOMAS NUEVA ECIJA - 1,200.00 - 1,200.00 9-Jul-19 19-1219 ROQUE, JESSICA JHANE L. 783 MA. GUZMAN ST. GAGALANGIN, TONDO MANILA - 10,200.00 - 10,200.00 9-Jul-19 19-1220 CASTRO, ETHEL L. 60 DOÑA JUAN ST. BRGY POTRERO MALABON CITY 213.00 - - 213.00 9-Jul-19 19-1221 SAPUNTO, IRENEO S. BRGY BACHAO ILAYA GASAN MARINDUQUE 7,098.00 - - 7,098.00 9-Jul-19 19-1222 ALMAZAR, EDGARDO L. 1541 ALGECERAS ST. BRGY 484 SAMPALOC MANILA 330.55 - - 330.55 9-Jul-19 19-1223 VELASCO, REGINA ROSE P. BLK. 59 LOT 17 ZONE 3, AFP HOUSING ST. BRGY BULIHAN - SILANG CAVITE - 530.00 530.00 9-Jul-19 19-1224 CRUZ, ARACELI E. 625 J. MARZAN ST. BRGY 447, ZONE 44 SAMPALOC MANILA - 130.00 - 130.00 9-Jul-19 19-1225 DE LEON, FABIANA MARIVELES ST LA LOMA QC 3,324.00 - - 3,324.00 9-Jul-19 19-1226 MAGSINO, BELLA B. 116 MARIANO ST. BRGY 33 MAYPAJO CALOOCAN 754.50 CITY - - 754.50 9-Jul-19 19-1227 YAMBAO, ROSARIO T. 149 A. CONCEPCION ST. BRGY MARULAS VALENZUELA 565.50 CITY - - 565.50 9-Jul-19 19-1228 TIMBANG, LORNA D. 250 R. DOMINGO ST. ST. BRGY TANGOS NAVOTAS 754.50 - - 754.50 9-Jul-19 19-1229 LUCERNA, RAFAEL JR O. 1 B DAVAO BAGO BANTAY ST. BRGY ALICIA QUEZON 565.50 CITY - - 565.50 9-Jul-19 19-1230 NUÑEZ, JEROME C. 127 BLK 3 KADIMA ST. BRGY TONSUYA LETRE MALABON - CITY - 1,590.00 1,590.00 9-Jul-19 19-1231 JINANG, MARIVIC M. BRGY BALANACAN MOGPOG MARINDUQUE - - 4,696.71 4,696.71 9-Jul-19 19-1232 CUETO, LAURA G. BRGY GULOD ITAAS BATANGAS CITY - 5,100.00 - 5,100.00 9-Jul-19 19-1233 ELLI, JOSEPH D. BLK 24 LOT 12 PH-1-B ST. BRGY NBBS NAVOTAS 213.00 CITY - - 213.00 9-Jul-19 19-1234 TERONA, EDDIE S. LIBIS RIVERSIDE ST. BRGY STO NINO SAN MATEO RIZAL - - 2,683.33 2,683.33 9-Jul-19 19-1235 CARREON, LENNIE D. 513 TAGAYTAY ST. BRGY 130 CALOOCAN CITY - 325.00 - 325.00 9-Jul-19 19-1236 MINLAY, VIRGILIO CYPRESS ST BRGY ONSE SAN JUAN CITY 1,352.25 - - 1,352.25 9-Jul-19 19-1237 DANCEL, JOHN BLK 18 LOT 14 VILLA LOCITA SUBD. TACLOBAN 9,997.10 - - 9,997.10 9-Jul-19 19-1238 LAYSON, FELISA I. B 36 LOT 12 F1 PHASE 3 DAGAT DAGATAN ST. BRGY 2,587.00 12 CALOOCAN CITY - - 2,587.00 9-Jul-19 19-1239 DELA PEÑA, FRANCISCA G. B10 SITIO PUTING BATO ST. BRGY NBBS PROPER 2,587.00 NAVOTAS CITY - - 2,587.00 9-Jul-19 19-1240 PANCHO, EDWIN R. 110 EAST RIVERSIDE ST. BRGY POTRERO MALABON 850.50 CITY - - 850.50 9-Jul-19 19-1241 FALLE, ROSALIE I. BLK. 9 LOT 3 LABRESA ST. BRGY PANTOK MEYCAUAYAN - BULACAN 14,000.00 - 14,000.00 9-Jul-19 19-1242 GABRAL, JANET 3646 INT. 74 BATAAN ST ST. BRGY 615 STA. CRUZ MANILA - 1,200.00 - 1,200.00 9-Jul-19 19-1243 VALDEZ, REBECCA V. 117 ST. BRGY 43 2ND AVE CALOOCAN CITY 3,324.00 - - 3,324.00 9-Jul-19 19-1244 GALLARDE, MA. GRACE G. 2287 LIMAY ST. BRGY 203 TONDO MANILA 2,587.00 - - 2,587.00 2-Jul-19 19-1245 DELOS SANTOS, FELOMINO H. 4303 BLOCK 8 ST. BRGY 35 MAYPAJO CALOOCAN CITY - - 32,299.35 32,299.35 1-Jul-19 19-1246 MAMING, ANNA LIZA L. PARADISE VILLAGE ST. BRGY TONSUYA MALABON - - 20,708.73 20,708.73 1-Jul-19 19-1247 AREVALO, JULITA V. BRGY AMUNTAY 2, DASMARINAS CAVITE - - 2,532.97 2,532.97 9-Jul-19 19-1248 CASTRO, VIRGINIA U. 425 S. DEL ROSARIO ST. BRGY 175 GAGALANGIN, TONDO - MANILA 1,500.00 - 1,500.00 9-Jul-19 19-1249 WEST, MARY ANN 27 AQUINO RD. PILAR VILL. ST. BRGY ALMAN SAUNO 2,587.00 LAS PIÑAS - - 2,587.00 9-Jul-19 19-1250 LACANILAO, MARICHEL S. 0003 ST. BRGY STA. MONICA HAGONOY BULACAN 546.00 - - 546.00 9-Jul-19 19-1251 REYES, MERCEDITA T. 55 CADIZ ST. BRGY SALVACION QUEZON CITY 3,324.00 - - 3,324.00 9-Jul-19 19-1252 BORJAL, LYDIA T. BLK 2C LOT 12 PHASE III ST. BRGY 14 KAUNLARAN 7,098.00 VILLAGE CALOOCAN - - 7,098.00 9-Jul-19 19-1253 CRESPO, VICTORIA PAZ S. 51 DAVAO ST. BRGY ALICIA BAGO BANTAY QUEZON 754.50 CITY - - 754.50 9-Jul-19 19-1254 MORALES, MANUEL N. 30 E1BLK. A STO.NINO ST. ST. BRGY SAN ANTONIO 2,134.40 QUEZON CITY - - 2,134.40 9-Jul-19 19-1255 TANO, CANDELARIA C. SITIO MAISGASIG ST. BRGY NONE WESTERN BICUTAN - TAGUIG CITY 325.00 - 325.00 9-Jul-19 19-1256 CAOILE, ROMUALDO G. 352 VICENTE DEL PILAR ST. BRGY 175 TONDO MANILA - - 7,631.85 7,631.85 9-Jul-19 19-1257 PASCUAL, RENATO O. 269 BLANCO COMP. FERNANDO ST. BRGY MALANDAY - VALENZUELA CITY - 15,794.02 15,794.02 9-Jul-19 19-1258 DELA CRUZ, EMELIA L. 62 IPIL ST. BRGY 56 WEST GRACE PARK CALOOCAN - CITY - 7,358.03 7,358.03 7-Jul-19 19-1259 PINEDA, REMEDIOS B. 959 NEW ANTIPOLO ST. BRGY 214 TONDO MANILA - - 5,979.63 5,979.63 9-Jul-19 19-1260 RELLIN, SHEILA MAY O. 363 TEREMAS, BAGONG BARRIO ST. BRGY 156 CALOOCAN - CITY - 2,189.59 2,189.59 8-Jul-19 19-1261 DOCDOCIL, ARCELI G. CAMIA ST. BRGY MOLINO 6 BACOOR CAVITE CITY - 1,440.00 - 1,440.00 9-Jul-19 19-1262 VIAÑA, ANGEL C. 019 QUIRINO ST. BRGY 119 TONDO MANILA 7,098.00 - - 7,098.00 9-Jul-19 19-1263 VILLANUEVA, RYAN P. 1398 A RIVERA ST. BRGY 248 TONDO MANILA - - 414.52 414.52 9-Jul-19 19-1264 PANALIGAN, PURIFICACION T. BRGY RANSUHAN LUCENA QUEZON PROVINCE - - 86,591.68 86,591.68 9-Jul-19 19-1265 SANCHEZ, TRISTHANIEL G. BRGY SAN RAFAEL MONTALBAN RIZAL - - 1,462.60 1,462.60 9-Jul-19 19-1266 BACOLCOL, NERLITO C. CFC 2E1 GAWAD KALINGA BASECO ST. BRGY 649 PORT - AREA MANILA - 890.32 890.32 9-Jul-19 19-1267 MERCADO, PAULYN L. 2147 VELASQUEZ ST. BRGY 96 TONDO MANILA 479.60 - - 479.60 9-Jul-19 19-1268 echaluce, efren CONCEPCIOON AGILA, QUIAPO MANILA 1,552.50 - - 1,552.50 9-Jul-19 19-1269 MONTAS, ROSEMARIE M. 195 BANAHAW EXT. ST. BRGY 900 STA.ANA MANILA - CITY 1,080.00 - 1,080.00 9-Jul-19 19-1270 RIVERA, ERLINDA C. BRGY BINUANGAN OBANDO BULACAN 3,324.00 - - 3,324.00 9-Jul-19 19-1271 AGUILAR, MERLIN C. 388 NAVARRO ST. BRGY 92 TONDO MANILA - - 39,742.23 39,742.23 9-Jul-19 19-1272 MAMADES , ROSSINE M. P. SANTIAGO ST. BRGY PASO DE BLAS VALENZUELA 6,942.00 CITY - - 6,942.00 9-Jul-19 19-1273 BUENAVENTURA, CELSO U. 1639 M HIZON ST. BRGY 339 STA. CRUZ MANILA 36.40 - - 36.40 9-Jul-19 19-1274 MACUSI, ELVIRA P. 3214 ST. BRGY POBLACION PANDI BULACAN 754.50 - - 754.50

Page 21 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

9-Jul-19 19-1275 GONZALES, JOEL V. BLK4 INTERPARCION COMP ST. BRGY H2 DASMARIÑAS 330.55 CAVITE CITY - - 330.55 9-Jul-19 19-1276 DOYONGAN, DANIEL -. BRGY TANOGS NAVOTAS CITY - - 3,240.00 3,240.00 9-Jul-19 19-1277 RAMIREZ, EVANGELINE P. 747 PAMPANGA ST. BRGY 185 TONDO MANILA - - 956.74 956.74 9-Jul-19 19-1278 MENGURIA, RIO L. BRGY EMMANUEL I DASMARIÑAS CAVITE - - 1,734.90 1,734.90 9-Jul-19 19-1279 CATALLA, REYMON A. BRGY UNANG SIGAW QUEZON CITY - - 1,123.45 1,123.45 9-Jul-19 19-1280 PARAGUYA, NICA ELA D. BRGY 310 STA. CRUZ MANILA - - 570.00 570.00 9-Jul-19 19-1281 LAURIO, DANIELLA -. BRGY 699 MALATE MANILA - - 1,590.00 1,590.00 9-Jul-19 19-1282 ROMERO, RAMIR O. BRGY DEVINA DE GRACIA SAN JOSE DEL MONTE BULACAN - - 4,250.00 4,250.00 9-Jul-19 19-1283 SIENNA, LOUIE F. BRGY DOÑA IMELDA QUEZON CITY - - 1,648.84 1,648.84 9-Jul-19 19-1284 GOMBA, JOSHUA KYLE L. BRGY SAN JOSE QUEZON CITY - - 760.00 760.00 9-Jul-19 19-1285 ARCILLA, ZEUS NICOLAS R. BRGY 51 TONDO MANILA - - 4,250.00 4,250.00 9-Jul-19 19-1286 QUISAY, LEONITA S. BRGY 29 TONDO MANILA - - 2,220.03 2,220.03 9-Jul-19 19-1287 PABILONA, LANZ JACINTH G. BRGY 20 TONDO MANILA - - 1,484.52 1,484.52 9-Jul-19 19-1288 SILVANO, BUENAFE A. BRGY STO. NIÑO PARAÑAQUE CITY - - 1,030.00 1,030.00 9-Jul-19 19-1289 DALAG, BERNARDO S. BRGY MOLINO I BACOOR CAVITE - - 7,351.77 7,351.77 10-Jul-19 19-1290 CAPULONG, JERRY C. BRGY CULIAT QUEZON CITY - - 3,865.00 3,865.00 10-Jul-19 19-1291 FLORES, GINA J. BRGY UNANG SIGAW QUEZON CITY - - 500.00 500.00 10-Jul-19 19-1292 QUINTOS JR, DIONITO A. B52 L4 1C BUWAN-BUWAN ST. BRGY NBBS KAULARAN - VILL NAVOTAS CITY - 1,758.72 1,758.72 9-Jul-19 19-1293 SAYO, CATHERINE ROSE T. 2237 KUSANG LOOB ST. BRGY 360 STA. CRUZ MANILA 765.80 - - 765.80 9-Jul-19 19-1294 SABANAL, NICOLE D. 836 M DELA FUENTE ST. BRGY 452 SAMPALOC MANILA - - 2,500.00 2,500.00 10-Jul-19 19-1295 JAVIER, EDNA E. BRGY JAVALERA GEN TRIAS CAVITE - - 6,563.82 6,563.82 10-Jul-19 19-1296 TIONGSON, REGINA R. 1327 HERRERA ST. BRGY 355 STA. CRUZ MANILA 565.50 - - 565.50 9-Jul-19 19-1297 GLOVA, LUZVIMINDA A. HEROES DEL 96 ST. BRGY 73 CALOOCAN CITY - - 1,160.00 1,160.00 9-Jul-19 19-1298 PUNO, RAYNALDO V. 1919 LACSON ST. BRGY 95 TONDO MANILA - - 116.80 116.80 9-Jul-19 19-1299 JUDALENA, HENRY B. 253 JASMIN ST. BRGY LAWA MEYCAUAYAN BULACAN - - 16,963.22 16,963.22 9-Jul-19 19-1300 BOLAÑOS, SEMIONA E. 1168 QUIRICADA EXTENSION ST. BRGY 239 TONDO -MANILA - 985.00 985.00 10-Jul-19 19-1301 MARINO, SYLVIA D. BRGY UNANG SIGAW QUEZON CITY - - 410.00 410.00 9-Jul-19 19-1302 QUIÑONES, DOMINADOR L. 1051 REYNA REGENTE ST. BRGY 285 BINONDO MANILA - - 154.26 154.26 10-Jul-19 19-1303 URBANO, HENRITZ A. MANUNGAL ST. BRGY TATALON QUEZON CITY - - 710.00 710.00 9-Jul-19 19-1304 PALMES, JINKY I. BRGY 132 CALOOCAN CITY - - 17,647.98 17,647.98 9-Jul-19 19-1305 CRUZ, ALEX JOSE T. 50 MARS ST. BRGY VIENTE REALES VALENZUELA CITY - - 1,280.39 1,280.39 9-Jul-19 19-1306 AGUSTIN, Elizabeth D. 102 MAPAGMAHAL ST., BRGY. 109, TONDO, MANILA - - 1,750.11 1,750.11 9-Jul-19 19-1307 CONOPIO, ARVEN O. 58 SAMPAGUITA ST. BRGY LANGGAM SAN PEDRO LAGUNA - - 1,314.50 1,314.50 9-Jul-19 19-1308 RELUCIO, EDUARDO D. 624 D URRUTIA ST. BRGY MALANDAY VALENZUELA - CITY - 1,056.59 1,056.59 10-Jul-19 19-1309 CRUZ, ALVIN I. BRGY 96 TONDO MANILA - - 649.23 649.23 9-Jul-19 19-1310 NOCOS, PRINCE KERJIE V. BLOCK 13 LOT 14 PHASE 8 SOUTHVILLE 4 ST. BRGY - POOK STA. ROSA LAGUNA - 6,456.66 6,456.66 10-Jul-19 19-1311 NOCOS, HEMICA LORREN V. BLOCK 13 LOT 14 PHASE 8 SOUTHVILLE 4 ST. BRGY - POOK STA. ROSA LAGUNA - 6,215.35 6,215.35 10-Jul-19 19-1312 CATUBAY, R-GEE R. 325 J MANZAN ST. BRGY 437 SAMPALOC MANILA - - 12,079.66 12,079.66 10-Jul-19 19-1313 AGORILLA, RALVINE B. BRGY 107 CALOOCAN CITY - - 530.00 530.00 10-Jul-19 19-1314 RUIZ, MA. THERESA V. NICOLAS ZAMORA ST. BRGY 65 TONDO MANILA - - 1,060.00 1,060.00 10-Jul-19 19-1315 GUBATAO, CARLOS A. BRGY 120 TONDO MANILA - - 853.19 853.19 10-Jul-19 19-1316 BARBON, ALFRED S. BRGY 301 STA. CRUZ MANILA - - 469.63 469.63 10-Jul-19 19-1317 OCILLOS, CHRISTINE M. 125 ZAMBOANGA ST. ST. BRGY CULIAT NONE QUEZON - CITY - 4,584.55 4,584.55 10-Jul-19 19-1318 LAS PIÑAS, REYMAR M. TAYUMAN ST. BRGY 100 TONDO MANILA - - 1,780.00 1,780.00 10-Jul-19 19-1319 MALLARI, KRISTEL L. BRGY 134 CALOOCAN CITY - - 470.00 470.00 10-Jul-19 19-1320 CRUZ, FLORENCIO F. BRGY KARUHATAN VALENZUELA CITY - - 615.23 615.23 10-Jul-19 19-1321 FORTU, LORENA E. TAYUMAN ST. STA. CRUZ MANILA - - 994.84 994.84 10-Jul-19 19-1322 ETINO, ROSA D. BRGY 316 STA. CRUZ MANILA - - 1,475.00 1,475.00 10-Jul-19 19-1323 YANZON, PRESCILA B. 2116 D-2 GEN. LUCBAN ST. BRGY 149 TONDO MANILA 156.00 - - 156.00 10-Jul-19 19-1324 AGUDERA, CHRISTIAN A. B18 LOT16 LAWAAN ST. ST. BRGY 145 STO. NIÑO PASAY - CITY - 2,440.88 2,440.88 10-Jul-19 19-1325 ANCHETA, RIZALINA P. BLK2 LOT31 PH1 SOUTHVILLE-4 ST. BRGY CAINGIN 565.50 SANTA ROSA LAGUNA - - 565.50 10-Jul-19 19-1326 ARANDIA JR, ARTURO V. BRGY 123 CALOOCAN CITY - - 1,070.00 1,070.00 10-Jul-19 19-1327 PAJENAR, SUSAN T. BLK 35 ST. BRGY NBBS NAVOTAS CITY 754.50 - - 754.50 10-Jul-19 19-1328 VELASCO, FELICIDAD N. 1955 ALMEDA ST. BRGY 226, ZONE 21 TONDO MANILA 754.50 - - 754.50 10-Jul-19 19-1329 MALATE, CESAR O. BRGY SAN RAMON DINALUPIHAN BATAAN 565.50 - - 565.50 10-Jul-19 19-1330 LIMPIN, ANTONIA P. 117 INTR 19 LAONG LAAN ST. BRGY 21 CALOOCAN CITY- - 2,139.98 2,139.98 10-Jul-19 19-1331 CALDERON, OSCAR jR. D. B8 LOT 33-34 ORANGE ADDAS ST. BRGY MAMBOG 823.50 IV BACOOR CAVITE - - 823.50 10-Jul-19 19-1332 CALDERON, MARISSA C. BLK 8 LOT 33 ORANGE ST. BRGY MAMBOG BACOOR 2,223.80 CAVITE - - 2,223.80 10-Jul-19 19-1333 CARIAGA, CAMILO P. 2633 E. DAGUPAN EXT. ST. BRGY 164 TONDO MANILA 754.50 - - 754.50 10-Jul-19 19-1334 RAMOS, FORTUNATO JR. M. 1069 BATANES ST. BRGY NONE SAMPALOC MANILA 930.00 - - 930.00 10-Jul-19 19-1335 TAN, EDUARDO P. 1781 INT. 22 ST. BRGY 871 PANDACAN MANILA 1,006.50 - - 1,006.50

Page 22 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

10-Jul-19 19-1336 SALANDANAN, TERESITA L. 306 ROXAS ST. BRGY 105 TONDO MANILA 834.00 - - 834.00 10-Jul-19 19-1337 DE GUZMAN, EDERLYN U. 64 SAMPAGUITA ST. BRGY 156 EAST BAGONG BARRIO 1,383.90 CALOOCAN CITY - 1,410.00 2,793.90 10-Jul-19 19-1338 MARBAN, ERNESTO P. 9A F. REYES COMPOUND ST. BRGY KARUHATAN 850.50 VALENZUELA CITY - - 850.50 10-Jul-19 19-1339 ANDALES, IMELDA J. PUROK MARKET ST. BRGY MILAGROSA PUERTO PRINCESA - PALAWAN 1,200.00 CITY - 1,200.00 10-Jul-19 19-1340 ZOLETA, JENNETH T. VELASQUEZ ST. BRGY 101 TONDO MANILA - - 750.00 750.00 10-Jul-19 19-1341 ABELLA, MAIA JOYCE N. 043 KABAONG TAUHAN ST. BRGY GULOD NOVALICHES - QUEZON CITY - 2,843.56 2,843.56 10-Jul-19 19-1342 ALARCON, JERRY L. 37 GITNA ST. BRGY APOLONIO SAMSON KAINGIN BUKID - QUEZON CITY 2,400.00 - 2,400.00 10-Jul-19 19-1343 PINEDA, RHONEIL C. 1998 ALMEDA ST. BRGY 225 TONDO MANILA - 1,500.00 - 1,500.00 10-Jul-19 19-1344 NATIVIDAD, ARMANDO L. 1727 VELASQUEZ ST. BRGY 82, ZONE 7 TONDO MANILA - 330.00 - 330.00 10-Jul-19 19-1345 DELEYBA, DELIA N. ROSE ST. BRGY HULUGAN 4 TANZA CAVITE - - 1,092.25 1,092.25 10-Jul-19 19-1346 ANDALES, IMELDA J. PUROK MARKET ST. BRGY MILAGROSA PUERTO 7,098.00 PRINCESA PALAWAN CITY - - 7,098.00 10-Jul-19 19-1347 NATIVIDAD, REBECCA P. 1727 VELASQUEZ ST. ST. BRGY 82 TONDO MANILA 312.00 - - 312.00 10-Jul-19 19-1348 ALVAREZ, ANTONIO A. 920 KIPUJA ST. BRGY 302 STA CRUZ MANILA - 900.00 - 900.00 10-Jul-19 19-1349 DELA CRUZ, ROGELIO R. 432 CONCHA ST. BRGY 69 TONDO MANILA 754.50 - - 754.50 10-Jul-19 19-1350 IBAÑEZ, DANNIELYN S. 26 KABULUSAN I ST. BRGY 23 CALOOCAN CITY - - 710.00 710.00 10-Jul-19 19-1351 SERRANO, JOSE JR. G. B9 L43 LAPID VILL 2 ST. BRGY TAMBOBONG SAN 643.50 RAFAEL BULACAN - - 643.50 10-Jul-19 19-1352 SISON, REMEDIOS B. 510 B. MEJORADA ST. BRGY 62 TONDO MANILA 1,090.50 - - 1,090.50 10-Jul-19 19-1353 MAGAT, MICHAEL C. 863 JAIME ST. BRGY 527 SAMPALOC MANILA - 2,400.00 - 2,400.00 10-Jul-19 19-1354 SANSAN, EMILIO JR P. 1527 CAPULONG ST. BRGY 108 TONDO MANILA - - 530.00 530.00 10-Jul-19 19-1355 MALLA, MELISSA A. 2320 B. CROMIUM ST ST. BRGY 771 SAN ANDRES 1,540.50 BUKID MANILA - - 1,540.50 10-Jul-19 19-1356 GAUANG, ROMEO B. 18-C K-7TH ST BRGY. KAMUNING QUEZON CITY 1,521.00 - - 1,521.00 10-Jul-19 19-1357 TISMO, ALFREDO S. 298 SAN ROQUE ST. BRGY 118 TONDO MANILA 754.50 - - 754.50 10-Jul-19 19-1358 VELASCO, MARITESS A. 9 LIWAYWAY ST. ST. BRGY ACACIA MALABON CITY - 1,200.00 - 1,200.00 10-Jul-19 19-1359 PETILO, SOCORRO T. 1528 NARRA ST ST. BRGY 244 TONDO MANILA - 990.00 - 990.00 10-Jul-19 19-1360 BADDAL, EDDIE D. 1501 JOSE ABAD SANTOS ST. BRGY 246 TONDO MANILA - 1,890.00 - 1,890.00 10-Jul-19 19-1361 NEPOMUCENO, FLORDELIZA D. 1064 BATAAN ST. BRGY 555 SAMPALOC MANILA 565.50 - - 565.50 10-Jul-19 19-1362 SALONGA, DANTE M. 1138 JUGADO, SALMON ST. BRGY 8 DAGAT-DAGATAN 1,552.50 CALOOCAN CITY - - 1,552.50 10-Jul-19 19-1363 MANGULABNAN, NELIA L. 163 DIKE ST. BRGY POBLACION BALIWAG BULACAN - 30,600.00 - 30,600.00 10-Jul-19 19-1364 ANG, ROXANNE G. BLK5 LOT4 PH3C ST. BRGY 20 KAUNLARAN VILLAGE - CALOOCAN CITY 1,500.00 - 1,500.00 10-Jul-19 19-1365 PANGANIBAN, ROMULO C. 177 P. ZAMORA ST. BRGY 19 CALOOCAN CITY - 500.00 - 500.00 10-Jul-19 19-1366 VALERIANO, CARMELIZA BRGY BINUANGAN OBANDO BULACAN 6,903.00 - - 6,903.00 10-Jul-19 19-1367 MENDOZA, TERESITA G. BLK. 18 LOT. 11 TBC ST. BRGY BALONG BATO BALINTAWAK 754.50 QUEZON CITY - - 754.50 10-Jul-19 19-1368 NUÑEZ, ALFONSO #N2 158 BURGOS ST ST. BRGY CONCEPTION MALABON 6,942.00 CITY - - 6,942.00 10-Jul-19 19-1369 BONIFACIO, ORLANDO G. 1155 A. MACEDA ST. BRGY 506 SAMPALOC MANILA 850.00 - - 850.00 10-Jul-19 19-1370 ENSIGNE, GLENDA B. 707 C. INSTRUCCION ST. BRGY 524 SAMPALOC MANILA - 1,710.00 - 1,710.00 10-Jul-19 19-1371 SABANGAN, EDNA D. 13 INTAN ST. BRGY 153 BAGONG BARRIO CALOOCAN 2,076.00 CITY - - 2,076.00 10-Jul-19 19-1372 AGDEPPA, MC ERYL T. BRGY CALLUNGAN SANCHEZ MIRA CAGAYAN VALLEY - 500.00 - 500.00 10-Jul-19 19-1373 PALABRICA, LAURA C. 330 SEVILLA MORIONES ST. BRGY 46 TONDO MANILA 754.50 - - 754.50 10-Jul-19 19-1374 GOMEZ, LERMA N. BLK 13 LOT 11 SOTTO ST. CRYSANTHEMUM VILLAGE, - SAN PEDRO LAGUNA 325.00 - 325.00 10-Jul-19 19-1375 BELTRAN, AVELINO V. 235 E. RODRIGUEZ ST. BRGY 129 BALUT, TONDO 1,552.50 MANILA - - 1,552.50 10-Jul-19 19-1376 FETIZANAN, CHRISTINE V. 1946 MARCOS RD ROAD 10 ST. BRGY 110 TONDO MANILA - 900.00 - 900.00 10-Jul-19 19-1377 VELEZ, MARIA FE C. ROAD 10 SITIO STO. NIÑO ST. BRGY NBBS NAVOTAS - CITY 1,080.00 - 1,080.00 10-Jul-19 19-1378 MARZO, KAYLINE 1581 PACHECO ST. BRGY 67 TONDO MANILA - - 734.96 734.96 10-Jul-19 19-1379 ALAGANO, JANE S. LOT 3 SHAW FOUNDATION SNKI-AGAPE SITIO 3,324.005 AREA D ST. BRGY CAMARIN - CALOOCAN CITY - 3,324.00 10-Jul-19 19-1380 MALLAPRE, ROBERTO M. 1320 DM COMPUND ST. BRGY 73 CALOOCAN CITY 8,355.20 - - 8,355.20 10-Jul-19 19-1381 GALANG, MARY ANN A. 0204 BAGTAS ST. BRGY NONE TANZA CAVITE 1,820.50 - - 1,820.50 10-Jul-19 19-1382 BARRIENTOS, EMILIANO B. 127 ABES COMPOUND ST. BRGY 5 SANGANDAAN 565.50 CALOOCAN CITY - - 565.50 10-Jul-19 19-1383 AROMIN, JOSEPH N. 157 TUVERA ST. BRGY 254 BAMBANG MANILA 16.20 - - 16.20 10-Jul-19 19-1384 SY, RACHEL B. 340 ST. BRGY 104 TONDO MANILA 330.55 - - 330.55 10-Jul-19 19-1385 DE VERA, ALEJANDRO C. 1271 INTERIOR 8 TAYUMAN ST. BRGY 225 TONDO MANILA - - 1,875.00 1,875.00 10-Jul-19 19-1386 ESCARCHA, EDWIN O. BLK 27 LOT 11 PHASE 1 NHV ST. BRGY BITUNGOL 7,398.30 NORZAGARAY BULACAN - - 7,398.30 10-Jul-19 19-1387 VARGAS, MARIA VICTORIA P. BRGY ALAS ASIN DARAITAN RIZAL - - 648.00 648.00 10-Jul-19 19-1388 CARILLO, RICHARD G. 1461 VELASQUEZ ST. BRGY 68 TONDO MANILA - 1,200.00 - 1,200.00 10-Jul-19 19-1389 DIZON, REYNALDO SR. T. 1281 INT 11 TAMBUNTING ST. BRGY 373 STA. CRUZ 347.10 MANILA - 4,797.02 5,144.12 10-Jul-19 19-1390 PENETRANTE, MARILOU M. B25, L3, SALMON ST. BRGY 8 DAGAT- DAGATAN 1,200.00 CALOOCAN CITY - - 1,200.00 10-Jul-19 19-1391 MALATE, CESAR O. BRGY SAN RAMON DINALUPIHAN BATAAN 910.50 - - 910.50 10-Jul-19 19-1392 CLEMENTE, LIBRADA M. 1014 P. SEVILLA ST. BRGY 38 GRACE PARK, 2ND AVE. - CALOOCAN CITY 1,350.00 - 1,350.00 10-Jul-19 19-1393 CLEMENTE, LIBRADA M. 1014 P. SEVILLA ST. BRGY 38 GRACE PARK, 2ND AVE.754.50 CALOOCAN CITY - - 754.50 10-Jul-19 19-1394 PALENCIA, BOBBY C. 142 PUROK 5 ST. BRGY BALIGANG LIGAO ALBAY - - 3,830.00 3,830.00 10-Jul-19 19-1395 ARENAS, VIRGINIA N. 11 IBA ST. BRGY STA TERESITA QUEZON CITY 565.50 - - 565.50 10-Jul-19 19-1396 RAGANDAN, FLORITA T. 16 B MA. CLARA ST. BRGY TUGATOG MALABON CITY - - 6,585.37 6,585.37

Page 23 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

10-Jul-19 19-1397 DEHITTA, YOLANDA R. 607-A ARTEL SITIO, PUTING BATO ST. BRGY NBBS NAVOTAS - CITY - 6,830.37 6,830.37 10-Jul-19 19-1398 ORBINO, BELLA P. 233 STA.BARBARA ST. BRGY 19 TONDO MANILA 7,753.20 - - 7,753.20 10-Jul-19 19-1399 RAMIREZ, ADEMA A. 42 S. PASCUAL ST. ST. BRGY SAN AGUSTIN MALABON - CITY 1,200.00 - 1,200.00 10-Jul-19 19-1400 TOLENTINO, JHLADYS JHOY E. GULAYAN ST. BRGY CAYMON MALABON - 500.00 - 500.00 10-Jul-19 19-1401 SAN JOSE, LILIAN 1104 VERGARA ST. BRGY 378 QUIAPO MANILA 259.50 - 3,475.00 3,734.50 10-Jul-19 19-1402 CHUA, SHENA S. 464 R.PAPA ST. BRGY 464 SAMPALOC MANILA 104.30 - - 104.30 10-Jul-19 19-1403 TANAEL, JUAN MIGUEL Q. BLOCK 18 LOT 17 FILIPINO AVENUE, TEACHERS BLISS - ST. BRGY BALONBATO - QUEZON CITY 3,008.19 3,008.19 10-Jul-19 19-1404 COBRE, ROMEO B. 38 3RD ST. BRGY WEST CRAME SAN JUAN CITY 1,552.50 - - 1,552.50 10-Jul-19 19-1405 PERTEZ, ELOISA D. SECTION 6, BLK 5, LOT 16, PH3, BELVEDERE ST. BRGY - PASONG KAWAYAN -II GEN TRIAS CAVITE 17,897.76 17,897.76 10-Jul-19 19-1406 BAUTISTA, EMELITA D. 620 VALDERAMA ST. BRGY 286 BINONDO MANILA - 840.00 - 840.00 10-Jul-19 19-1407 MENDOZA, BLESILDA 1026 NEW ANTIPOLOB ST ST. BRGY 217 TONDO 645.75 MANILA - - 645.75 10-Jul-19 19-1408 GARALDE, MARICON BLK 11 LOT 8 DAANG HARI , REYNA ST BACOOR 6,942.00 CAVITE - - 6,942.00 10-Jul-19 19-1409 HIDALGO, VIVIENNE F. BLK 93 SILAHIS ST. BRGY TANZA NAVOTAS CITY - - 2,912.84 2,912.84 10-Jul-19 19-1410 CUETO, LAURA G. BRGY GULOD ITAAS BATANGAS CITY - 10,200.00 - 10,200.00 10-Jul-19 19-1411 YU, GLORIA R. BLK33 LOT22 R5, CITY HOMES, RESORTVILLE ST. 682.50 BRGY LANGKAAN II DASMARIÑAS - CITY CAVITE - 682.50 10-Jul-19 19-1412 LOPEZ, ABIGAIL BRGY 489 ALCOBA COMPOUND 3RD STREET BACOOR - CAVITE - 16,045.83 16,045.83 10-Jul-19 19-1413 ZARATE, MANUEL R. 2127 BATO ST. BRGY 150 TONDO MANILA - - 25,772.40 25,772.40 10-Jul-19 19-1414 GALPA, ROWENA A. 1730 IBARRA ST. BRGY 492, ZONE 49 SAMPALOC MANILA - 1,200.00 - 1,200.00 10-Jul-19 19-1415 SARAMINES, SEAN MICHAEL M. SITIO PINTONG GUBAT ST. BRGY PALIPARAN 3 DASMARIÑAS - CAVITE CITY - 9,872.89 9,872.89 10-Jul-19 19-1416 CHEUNG, SOLEDAD V. AREA B GATE 12 PAROLA ST. BRGY 20 TONDO MANILA - - 9,711.66 9,711.66 10-Jul-19 19-1417 VILLANUEVA, ROMMEL D. BLK 11 PADAS ALLEY, KAULARAN VILLAGE ST. BRGY - 12 LIBIS CALOOCAN CITY- 26,948.83 26,948.83 10-Jul-19 19-1418 MARAVILLA, ROBERT F. 401 C. INT. 32 PERLA ST. BRGY 121 TONDO MANILA - - 3,886.09 3,886.09 10-Jul-19 19-1419 MARTIN, LETICIA T. 2770 J. BENITA ST. GAGALANGIN ST. BRGY 186 TONDO - MANILA 1,440.00 - 1,440.00 10-Jul-19 19-1420 ESTRADA, MERLITA Q. TAMPOY 2 TELECOM COMP ST. BRGY MARULAS VALENZUELA - CITY - 4,714.04 4,714.04 10-Jul-19 19-1421 GATMAITAN, CONSUELO C. 306 INT. 2, NADURATA ST. BRGY 43 CALOOCAN CITY - 1,200.00 - 1,200.00 10-Jul-19 19-1422 ARGUELLES, IRVING A. 1444 ALGECIRAS ST. BRGY 483 SAMPALOC MANILA 507.60 - - 507.60 10-Jul-19 19-1423 SUNGA, PETRONILA M. 1933 TIOCO ST. ST. BRGY 91 TONDO MANILA 956.95 - - 956.95 10-Jul-19 19-1424 ESGUERRA, SYDNEY S. 1807 ANTONIO RIVERA ST. BRGY 234 TONDO MANILA - - 360.00 360.00 10-Jul-19 19-1425 LAURENTINO, EVANGELINE G. 426 DOSE 36 ST. BRGY 156 EAST BAGONG BARRIO CALOOCAN - CITY - 4,034.00 4,034.00 10-Jul-19 19-1426 BILLANTE, MICHELLE M. BRGY TIGBE NORZAGARAY BULACAN - - 414.52 414.52 10-Jul-19 19-1427 ABANCO, ARION GLEN C. 24 KATIPUNAN ST. BRGY BAYAN-BAYANAN MALABON 156.00 CITY - - 156.00 10-Jul-19 19-1428 MENDOZA, CRISTAIRS JEAN R. 1957 UNIT 3A FIRMIZA EXT. ST. BRGY 554 SAMPALOC - MANILA - 2,106.46 2,106.46 10-Jul-19 19-1429 DE GUZMAN, JASON C. MA CLARA ST. BRGY TUGATOG MALABON CITY - - 12,806.25 12,806.25 10-Jul-19 19-1430 CORPUZ, EDILBERTO M. BLK142 LOT 66 PUROK 2 ST. BRGY CENTRAL BICUTAN - TAGUIG CITY - 896.98 896.98 10-Jul-19 19-1431 ALAYON, JONEL C. MATA E HERBOSA ST. BRGY 107 TONDO MANILA 194.60 - 416.25 610.85 10-Jul-19 19-1432 Helera, Felicisimo N. 435 RAMON COMPOUND VILLAGE ST. BRGY TALIPAPA 388.70 QUIRINO HIGHWAY, - QUEZON CITY - 388.70 10-Jul-19 19-1433 BULLECER, EDUARDO B. PH6 CANILING ST. BRGY 178 CAMARIN CALOOCAN 850.50 CITY - 1,318.79 2,169.29 10-Jul-19 19-1434 PEDRACITA, HERNAN 72 SAN MIGUEL RD GATE 8 ST. BRGY 275 BINONDO MANILA- - 322.19 322.19 10-Jul-19 19-1435 PERMEJO, JIRO LIL YUAN R. 139 L LUPA ST. BRGY 32 MAYPAJO CALOOCAN CITY - - 2,350.00 2,350.00 10-Jul-19 19-1436 GREGORIO, JERRY B. BLK 3B LOT24 MACOPA ST. BRGY 177 CALOOCAN CITY - - 2,004.52 2,004.52 10-Jul-19 19-1437 LOPEZ, MARVIN M. 273 BARCELONA ST. BRGY 173 TONDO MANILA - - 886.24 886.24 10-Jul-19 19-1438 BALITO, MARY ANN M. 3 MAGSAYSAY ST. BRGY 120 TONDO MANILA - - 660.47 660.47 10-Jul-19 19-1439 BACHECHA, KEIZHA MAE B. 354 ROSE ST. BRGY 161 BAESA CALOOCAN CITY - - 130.00 130.00 10-Jul-19 19-1440 DE GUZMAN, EDITHA T. 949 CEBU ST. BRGY 558 SAMPALOC MANILA - - 2,745.83 2,745.83 10-Jul-19 19-1441 MACABUHAY, ROMELYN M. 677 MA CRISTINA ST. BRGY 449 SAMPALOC MANILA - - 530.00 530.00 10-Jul-19 19-1442 LOPEZ, MARICAR C. SAMPAGUITA ST. BRGY 156 BAGONG BARRIO CALOOCAN - CITY - 840.00 840.00 10-Jul-19 19-1443 ALCAIDE, JAEDEN D. BS 67 CAPULONG ST. BRGY 108 TONDO MANILA - - 1,434.93 1,434.93 10-Jul-19 19-1444 VELASCO, POMPEYA B. 1053 CONCEPCION AGUILA ST. BRGY 388 QUIAPO MANILA - - 1,290.00 1,290.00 10-Jul-19 19-1445 OROSCO, MAGDALENA M. 2142 RODRIGUEZ ST. BRGY 130 TONDO MANILA - - 848.00 848.00 10-Jul-19 19-1446 STA. RITA, NONITO M. ADLAS ST. BRGY MALIGAYA SILANG CAVITE - - 1,000.00 1,000.00 11-Jul-19 19-1447 DE LEON, ALLEN Z. 1348 MUSA ST. BRGY 308 SAMPALOC MANILA - - 530.00 530.00 11-Jul-19 19-1448 BOGLOSA, FERNANDO L. 17 FLAMINGO ST. BLOCK 25 LOT 11 PHASE 1 ST. BRGY - PACITA 2 SAN PEDRO - LAGUNA 710.00 710.00 11-Jul-19 19-1449 INOCENCIO, VERONICA S. 2220 BATANES SAN AGUSTIN ST. BRGY 543 SAMPALOC - MANILA - 2,382.44 2,382.44 11-Jul-19 19-1450 SERMON, SYMER B. BLK 17 A BASECO ST. BRGY 649 PORT AREA MANILA - - 2,359.97 2,359.97 11-Jul-19 19-1451 SURVILLA, LEONILA R. BLDG 27 UNIT 211 PERMANENT HOUSING ST. BRGY 429.00 128 TONDO MANILA - - 429.00 11-Jul-19 19-1452 MARCELINO, DARIUS A. 289 JP RIZAL ST. BRGY 104 TONDO MANILA - - 1,892.02 1,892.02 11-Jul-19 19-1453 DIONISIO, TRANGIA JR. R. BLK 15 LOT B 397 BASECO ST. BRGY 649 PORT AREA - MANILA - 596.86 596.86 11-Jul-19 19-1454 ENGUILLO, EDITHA D. 148 ST. BRGY BATIA BOCAUE BULACAN - 1,200.00 - 1,200.00 11-Jul-19 19-1455 BOSQUE, LILIA T. 456 RUBY VILLE ST. BRGY 160 BAESA QUEZON CITY - - 625.16 625.16 11-Jul-19 19-1456 MENDEJA, PERCIVAL D. TAGANAHAN ST. BRGY BAGUMBAYAN SOUTH NAVOTAS - CITY - 4,962.69 4,962.69 11-Jul-19 19-1457 SEVILLA, LEONA H. 35 CONCEPCION TAAS MORNING BREEZE ST. BRGY NONE- CALOOCAN CITY - 6,760.05 6,760.05

Page 24 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

11-Jul-19 19-1458 AVENDAÑO, CRISANTA B. 73 HALCON 2 ST. BRGY SWTA. TERESITA QUEZON CITY - - 49,038.27 49,038.27 11-Jul-19 19-1459 SAHAGUN, JULIETA B. 316 PNR SAMSON RD ST. BRGY 73 CALOOCAN CITY - - 3,486.33 3,486.33 11-Jul-19 19-1460 CUENTO, EDMUNDO N. BRGY SAN RAFAEL BURDEOS QUEZON PROVINCE - - 5,897.67 5,897.67 11-Jul-19 19-1461 GONZALES, RANZ KYLE 154 SOLEMA ST. BRGY BAYANAN MUNTINLUPA - - 45,288.64 45,288.64 11-Jul-19 19-1462 MAGPOC, ENGEL S. 401A INT. 26 PERLA ST. BRGY 121 TONDO MANILA - - 9,893.86 9,893.86 11-Jul-19 19-1463 MARAVILLA, ROBERT F. 401 C. INT. 32 PERLA ST. BRGY 121 TONDO MANILA - - 7,386.09 7,386.09 11-Jul-19 19-1464 MARASIGAN, MARK LEAN I. JAVIER ST. BRGY BARITAN MALABON CITY - - 9,316.34 9,316.34 11-Jul-19 19-1465 JUMALON, HELEN H. BRGY RIVERSIDE SAN PEDRO LAGUNA - - 6,640.06 6,640.06 11-Jul-19 19-1466 RAMOS, KENT WENDELL B. 223 ST. BRGY MARIA PAZ TANAUAN BATANGAS - - 36,580.28 36,580.28 11-Jul-19 19-1467 VILLARBA, ASHLEY NICOLE -. 456 FABIA ST. BRGY 71 TONDO MANILA - - 592.23 592.23 11-Jul-19 19-1468 CAPIÑA, DORIS B. B20 L26 SAN VICENTE HOMES ST. BRGY SAN VICENTE - STA. MARIA BULACAN - 11,952.49 11,952.49 11-Jul-19 19-1469 GERADO, ANGELLIKA A. BRGY 569 STA MESA MANILA - - 8,352.88 8,352.88 11-Jul-19 19-1470 PAPASIN, ART G. BRGY APOLONIO SAMSON QUEZON CITY - - 6,073.76 6,073.76 11-Jul-19 19-1471 BALVERDE, MICHAEL JOHN S. 369 BARRIO SANTA RITA ST. BRGY 188 NORTH TALA - CALOOCAN CITY - 121,830.25 121,830.25 11-Jul-19 19-1472 RODOLFO, RODOLFO B. BLK. 2 LOT 33 BUENOS AIRES GOLDEN CITY ST. BRGY - ANABU 2F IMUS CAVITE - 7,817.41 7,817.41 11-Jul-19 19-1473 TOMAS, NESTOR P. BRGY MARINIG CABUYAO LAGUNA - - 5,718.18 5,718.18 11-Jul-19 19-1474 MACARAGUIT, MUHHAAMAD A. BRGY 393 QUIAPO MANILA - - 9,405.70 9,405.70 11-Jul-19 19-1475 AGUILAR, JOSEPHINE N. A. C. MERCADO ST. BRGY 1 ROSARIO CAVITE - - 28,797.70 28,797.70 11-Jul-19 19-1476 KUMERO, XIAN ZANIEL BRGY SABANG DASMARIÑAS CAVITE - - 1,231.56 1,231.56 11-Jul-19 19-1477 PIALAGO, GILBERT C. BRGY DALANDANAN VALENZUELA CITY - - 11,498.21 11,498.21 11-Jul-19 19-1478 SAUL, ANTERO JR L. 129 ST. BRGY SANTIAGO MALVAR BATANGAS - - 34,948.97 34,948.97 11-Jul-19 19-1479 VENTURA, REXMAN T. BRGY UGONG VALENZUELA CITY - - 2,094.43 2,094.43 11-Jul-19 19-1480 GUTIERREZ, EMANUEL 1927 CF. MUÑOZ ST. BRGY 735 MALATE MANILA - - 6,935.86 6,935.86 11-Jul-19 19-1481 BALAORO, LILIA S. 59 HERRERA EXT ST. BRGY IBABA MALABON CITY - - 911.35 911.35 12-Jul-19 19-1482 MAILO, LYDIA E. B 10 L 72 DUNGON, BILLA LUISA ST. BRGY SAN AGUSTIN - III DASMARIÑAS CAVITE- 23,354.25 23,354.25 12-Jul-19 19-1483 DONDRIANO, KHALVIN B14 L16 SOUTH VILLE EXT. ST. BRGY SAN ANTONIO - SAN PEDRO LAGUNA - 13,813.91 13,813.91 9-Jul-19 19-1484 CEA, EGMEDIO C. PUROK 3 ST. BRGY POBLACION MALINAO ALBAY - - 78,649.74 78,649.74 3-Jul-19 19-1485 PEDRERA, JANOAH MAVEN V. 166 LILAC ST. BRGY GREATER FAIRVIEW QUEZON CITY - - 3,847.55 3,847.55 4-Jul-19 19-1486 HEBRES, NESTOR O. BRGY POBLACION MUNTINLUPA CITY - - 57,280.00 57,280.00 4-Jul-19 19-1487 DEL ROSARIO, MYK ANDREI J. BRGY MAGALLANES MASBATE - - 5,533.63 5,533.63 4-Jul-19 19-1488 PAGLINGAYEN, SERGIO P. 101 P DUCOS ST. BRGY 306 QUIAPO MANILA - - 1,284.18 1,284.18 4-Jul-19 19-1489 INFANTE, EDSEL B. BRGY SAGRADA IRIGA CITY CAMARINES SUR - - 19,047.82 19,047.82 4-Jul-19 19-1490 HIPOL, ROGELIO M. 657, PUROK 5 ST. BRGY LIPAY STA. CRUZ ZAMBALES - - 54,912.07 54,912.07 5-Jul-19 19-1491 LEGASPI, LEOMAR B. BAYBAYON ST. BRGY MALUBAGO CATAYNGAN MASBATE - CITY - 5,965.22 5,965.22 25-Jul-19 19-1492 CABILING, EDDIE M. BRGY CAMAYA MARAVILES BATAAN - - 38,642.06 38,642.06 9-Jul-19 19-1493 ABAS, DWAYNE ZYDON C. B2 L3 PH4 SAN JOSE HEIGHTS ST. BRGY MUZON SAN - JOSE DEL MONTE BULACAN - 386.86 386.86 9-Jul-19 19-1494 MAPANAO, MARCELINO C. BRGY DINALAWAN CALASIO PANGASINAN - - 20,496.04 20,496.04 9-Jul-19 19-1495 LIM, LEONCIO R. 51 CRISTOBAL ST. BRGY KARUHATAN VALENZUELA - CITY - 1,489.16 1,489.16 10-Jul-19 19-1496 COGUANGCO, JOSE A. BRGY STA ISABEL DINALUPIHAN BATAAN - - 32,919.57 32,919.57 10-Jul-19 19-1497 BAINGAN, ARVIE JOHN J. BRGY MANGAGAWA GUINANGAN QUEZON PROVINCE - - 44,521.60 44,521.60 10-Jul-19 19-1498 MAURICIO, PRINCESS F. 409 INT. 12 INOCENCIO, VELASQUEZ ST. BRGY 93 TONDO - MANILA - 3,756.16 3,756.16 8-Jul-19 19-1499 SOTELO, ALFREDO S. 16 PUROK 7 MULTINATIONAL VILLAGE ST. BRGY MOONWALK - PARAÑAQUE - CITY 1,575.73 1,575.73 10-Jul-19 19-1500 BONDESTO, TIMOTHY M. 14 PURIFICATION ST. BRGY 26 MAYPAJO CALOOCAN - CITY - 10,175.90 10,175.90 1-Apr-19 19-1501 SORIANO, YOLANDA F. LOT 17 BLK 34 TOWER VILLE ST. BRGY MINUYAN PROPER - SAN JOSE 1,665.00DEL MONTE BULACAN - 1,665.00 1-Apr-19 19-1502 PANGAN, ANANIAS M. BLK 6B 171 ST. BRGY GREGORIA GMA CAVITE - 1,855.00 - 1,855.00 1-Apr-19 19-1503 LAGMAN, DIONISIO G. ROAD 10 ST. BRGY 123, ZONE 9 MARCOS HI-WAY, TONDO - MANILA 360.00 - 360.00 1-Apr-19 19-1504 TALLE, JENELYN C. 60 CALIRAYA COR. VICTORY ST. BRGY TATALON QUEZON - CITY 1,365.00 - 1,365.00 1-Apr-19 19-1505 SAMPILO, ELIZABETH M. 444 INOCENCIO ST. ST. BRGY 93 TONDO MANILA - 885.00 - 885.00 1-Apr-19 19-1506 SACAR, NORAIMA M. BLUMENTRITT SULU ST. BRGY 365 STA CRUZ MANILA - 1,810.00 - 1,810.00 1-Apr-19 19-1507 GUEVARRA, ROSELY R. 0218 DITA ST. BRGY 599 OLD STA. MESA MANILA - 2,075.00 - 2,075.00 1-Apr-19 19-1508 TARROBAL, ANGELITA S. 2615 ALLEY 1 JESUS ST. BRGY 836 PANDACAN MANILA - 5,500.00 - 5,500.00 1-Apr-19 19-1509 PADORA, LUISA T. 739 BANAL ST. BRGY 186 TONDO MANILA - 1,615.00 - 1,615.00 1-Apr-19 19-1510 NONAY, ROSALINDA Q. BRGY BLK 7C LOT 10 NAVOTAS CITY - 1,720.00 - 1,720.00 1-Apr-19 19-1511 CONCRENIO, DOMINADOR T. 55 NP CRUZ ST. BRGY USUSAN TAGUIG - 1,310.00 - 1,310.00 1-Apr-19 19-1512 MOTOL, NESTOR V. BRGY SILANGAN II ROSARIO CAVITE - 2,680.00 - 2,680.00 1-Apr-19 19-1513 LETADA, RENE B. 2021 M NATIVIDAD STA CRUZ ST. BRGY 346 STA. CRUZ - MANILA 1,045.00 - 1,045.00 2-Apr-19 19-1514 LUANGCO, EDUARDO D. 63 ARASITY INT. ST. BRGY TINAJEROS MALABON CITY - 90.00 - 90.00 2-Apr-19 19-1515 BANOSA, ROXANNE C. PUROS 3 ISLA PUTING BATO ST. BRGY 20 TONDO MANILA - 640.00 - 640.00 2-Apr-19 19-1516 BANOSA, ROXANNE C. PUROS 3 ISLA PUTING BATO ST. BRGY 20 TONDO MANILA - 130.00 - 130.00 2-Apr-19 19-1517 MANGARING, RODOLFO R. 2460 MALAYA EXT. ST. BRGY 125 BALUT, TONDO MANILA - 210.00 - 210.00 2-Apr-19 19-1518 CARREON, MA. THERESA V. BLOCK 13 LOT 18 SAN FERNANDO ST., NEW HAVEN - VILLAGE ST. BRGY 1,900.00 KALIGAYAHAN NOVALICHES - QUEZON CITY 1,900.00

Page 25 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2-Apr-19 19-1519 GARCIA, CONCHITA P. 1301 F1 TORRES BUGALLON ST. BRGY 212 TONDO MANILA - 2,500.00 - 2,500.00 2-Apr-19 19-1520 PACHECO, ABIGAIL P. 704 PACHECO COMP. ST. BRGY PASOLO VALENZUELA - CITY 1,465.00 - 1,465.00 2-Apr-19 19-1521 ALFORTE, NENITA O. 536 ROAD 1 ST. GAGALANGIN TONDO MANILA - 2,060.00 - 2,060.00 2-Apr-19 19-1522 MERADOR, MARIA PRISCILIA D. 195 BARRIO PACITA ST. BRGY 95 CALOOCAN CITY - 510.00 - 510.00 2-Apr-19 19-1523 TARNATE, AMELITO T. 3106 MOLAVE ST. BRGY 202 TONDO MANILA - 2,500.00 - 2,500.00 2-Apr-19 19-1524 DELA CRUZ, ALFONSO O. 439 SAN RAFAEL ST. BRGY 641 SAN MIGUEL MANILA - 1,415.00 - 1,415.00 2-Apr-19 19-1525 DANGCAL, MARIAM S. 0922 A5 MANUGIT ST. BRGY MORONG TONDO MANILA - 940.00 - 940.00 2-Apr-19 19-1526 VITUG, PRISCILLA Q. 24 F. CARLOS ST ST. BRGY APOLONIO SAMSON BALINTAWAK - QUEZON 2,080.00 CITY - 2,080.00 3-Apr-19 19-1527 BAGALLON, ANGELYN G. 57 M. CLARA, 4TH AVE. GRACDE PARK ST. BRGY 117 - CALOOCAN CITY 2,565.00 - 2,565.00 3-Apr-19 19-1528 BOSITO, MARLYN R. 241 M. AQUINO, CAMARIN ST. BRGY 178 CALOOCAN - CITY 755.00 - 755.00 3-Apr-19 19-1529 HERRERA, RAMON M. 4 CAPILLAR SAN FRANCISCO ST. BRGY SAN ANTONIO - QUEZON CITY 980.00 - 980.00 3-Apr-19 19-1530 GIMENO, ROSITA F. 0100 SITIO UPPER GUMAMELA ST. BRGY STA. CRUZ - ANTIPOLO RIZAL 3,155.00 - 3,155.00 3-Apr-19 19-1531 SANTOS, TERESITA S. 3747 F. AGUILAR ST. ST. BRGY 191 TONDO MANILA - 1,965.00 - 1,965.00 3-Apr-19 19-1532 SANTOS, TERESITA S. 3747 F. AGUILAR ST. ST. BRGY 191 TONDO MANILA - 2,500.00 - 2,500.00 3-Apr-19 19-1533 MASULA, RITCHIE T. B3 L22 WOODLANE PHASE D ST. BRGY MALAGASANG - 1B IMUS CAVITE 940.00 - 940.00 3-Apr-19 19-1534 LACIA, SAMMY S. 061 CAMIA, CASTILLO PARK SUBDIVISION ST. BRGY - ALMANZA UNO 12,560.00 LAS PIÑAS CITY - 12,560.00 3-Apr-19 19-1535 DEL MUNDO, REYNALDO B. BRGY POBLACION III ALFONSO CAVITE - 1,255.00 - 1,255.00 4-Apr-19 19-1536 BERSAMINA, CORAZON B. BLK 19 LOT 34 MAGSAYSAY EXT. ST. BRGY SAN AGUSTIN - MALABON CITY 370.00 - 370.00 4-Apr-19 19-1537 CASTILLO, ROMUALDO D. 1833 CAVITE BLUMENTRITT ST. BRGY 370 SAMPALOC - MANILA 350.00 - 350.00 4-Apr-19 19-1538 TAGALA, ERLINDA B. BRGY PUDTUL KALINGA APAYAO - 2,500.00 - 2,500.00 4-Apr-19 19-1539 GARCIA, ANALISA A. BLK. 1 LOT 60 MERCEDES HOMES 3-A ST. BRGY STO. - NIÑO BIÑAN LAGUNA 595.00 - 595.00 4-Apr-19 19-1540 CUSTODIO, JOSEPHINE D. B5 L10 PHASE 3 KAMAGONG DRIVE VISTA BONITA SUBD - ST. BRGY SAN 6,230.00 JOSE DASMA CAVITE - 6,230.00 4-Apr-19 19-1541 PAGTALUNAN, MELANIE E. 2957 PILAR ST. BRGY 198 MANUGUIT TONDO MANILA - 1,165.00 - 1,165.00 5-Apr-19 19-1542 SARMIENTO, ROMEO L. 298 MARCELA ST. ST. BRGY 27 CALOOCAN CITY - 210.00 - 210.00 5-Apr-19 19-1543 DELA ROSA, LEONARDO G. 140 MARULAS A ST. BRGY 36 CALOOCAN CITY - 2,405.00 - 2,405.00 5-Apr-19 19-1544 GOZON, REYNALDO A. 144 A.CRUZ ST. BRGY NONE TANGOS NAVOTAS CITY - 1,405.00 - 1,405.00 5-Apr-19 19-1545 MARTINEZ, SALOME T. BLK 16 LANGARAY PADAS ST. BRGY 2 DAGAT-DAGATAN - CALOOCAN CITY 2,350.00 - 2,350.00 5-Apr-19 19-1546 BUNDALIAN, RHEINE JHASTINE S.2003 DAGUPAN EXTENSION ST. BRGY 159 TONDO MANILA - 650.00 - 650.00 5-Apr-19 19-1547 QUILANTANG, PAZ G. 710 GEN. P BOROMMEO ST. ST. BRGY LONGOS MALABON - CITY 640.00 - 640.00 5-Apr-19 19-1548 BERNISCA, VIOLETA D. 110 ISLA SAN MARCOS ST. BRGY 34 MAYPAJO CALOOCAN - CITY 5,105.00 - 5,105.00 5-Apr-19 19-1549 BANAL, NESXIMO N. 1509 ALCALDE ST. BRGY 117 TONDO MANILA - 960.00 - 960.00 5-Apr-19 19-1550 Tabalina, Rowena R. #5 MAYO ST. MAGSAYSAY EXT ST. BRGY SAN AGUSTIN - MALABON CITY 1,165.00 - 1,165.00 8-Apr-19 19-1551 ASTORGA, ENCARNACION 2482 LAURA ST. PANDACAN MANILA - 635.00 - 635.00 8-Apr-19 19-1552 SALVIO, MARITES B. 1370 I TEMANDO ST. BRGY MALANDAY VALENZULA - CITY 2,620.00 - 2,620.00 8-Apr-19 19-1553 CAFERINA, MA. LUISA 104 BLK 5 MAGSAYSAY VILL DEL PILAR ST. BRGY 100 - TONDO MANILA 12,560.00 - 12,560.00 8-Apr-19 19-1554 CAO, ROBERTO L. BRGY PANGCLARA CANDABA PAMPANGA - 640.00 - 640.00 8-Apr-19 19-1555 GIMORO, SUSAN P. BLK. 33 LOT 23 N PHASE 3, F1 ST. BRGY 12 DAGAT-DAGATAN - CALOOCAN 1,255.00 CITY - 1,255.00 8-Apr-19 19-1556 Valdez, Jeana Dane S. DAGUPAN ST. BRGY 50 TONDO MANILA - 530.00 - 530.00 8-Apr-19 19-1557 MEJIA, BELINDA D. BLK5 LOT26 GREENFIELD, SUNNY CRIS VILLAGE ST. - BRGY SALITRAN II 650.00 DASMARIÑAS CAVITE - 650.00 8-Apr-19 19-1558 TENEFRANCIA, ALEX M. 1145 INT 32, VARGAS ST. BRGY 216 TONDO MANILA - 450.00 - 450.00 8-Apr-19 19-1559 Porciuncula, Jon Ross S. 537 TIRSO CRUZ ST. GAGALANGIN ST. BRGY 173 TONDO - MANILA 530.00 - 530.00 8-Apr-19 19-1560 BAMBA, ROMMEL A. 1061 TORRES BUGALLON ST. BRGY 203 TONDO MANILA - 635.00 - 635.00 10-Apr-19 19-1561 CASINGAL, ROMELYN E. BLK. 43 LOT 30 AREA 1 ST. BRGY LAWANG PARI SAN - JOSE DEL MONTE 485.00 BULACAN - 485.00 10-Apr-19 19-1562 SISTOZA, DIONISIO R. 583 ANTIPOLO ST. ST. BRGY 169 TONDO MANILA - 12,900.00 - 12,900.00 10-Apr-19 19-1563 DELA ROSA, EDUARDO S. 1805 A. RIVERA ST. ST. BRGY 234 TONDO MANILA - 940.00 - 940.00 10-Apr-19 19-1564 VALDERAS, SOLEDAD V. 291 SITIO 6 ST. BRGY CATMON MALABON - 170.00 - 170.00 10-Apr-19 19-1565 PRUDENTE, EMELYN A. BRGY AGBUBULO AHOY ILOILO - 2,680.00 - 2,680.00 10-Apr-19 19-1566 CRUZANA , JOSE C. BLK. 14 LOT 51 ST. BRGY NICOLASA BIRATA GMA CAVITE - 370.00 - 370.00 10-Apr-19 19-1567 CABACTULAN, MARIO N. 540 DE GUZMAN ST. BRGY 394 QUIAPO MANILA CITY - 1,980.00 - 1,980.00 10-Apr-19 19-1568 BELTRAN, MARGARET M. 1283 INT. 22 ST. BRGY 375 STA. CRUZ MANILA - 1,235.00 - 1,235.00 10-Apr-19 19-1569 ESTODILLO, MARY CONCEPCION A.B4 L39 BAGONG SILANG ST. BRGY SAN JOSE NAVOTAS - CITY 1,235.00 - 1,235.00 10-Apr-19 19-1570 PALINO, JORDAN D. 7-A ESTAÑO ST. BRGY TUGATOG MALABON CITY - 1,235.00 - 1,235.00 10-Apr-19 19-1571 AHMAD, MARY JOY P. BRGY MUNTINLUPA CITY - 1,235.00 - 1,235.00 10-Apr-19 19-1572 LINGO, BONIFACIO M. 24 C SERANO ST ST. BRGY SAN SIMON VALENZUELA - CITY 6,230.00 - 6,230.00 10-Apr-19 19-1573 TAMPOS, CORNELIA B. 1344 ALINIAN MORIONES ST. BRGY 123 TONDO MANILA - 1,235.00 - 1,235.00 10-Apr-19 19-1574 MARQUEZ, FRANCISCA R. 1504 TINDALO ST. BRGY 254 TIAONG MANILA - 220.00 - 220.00 11-Apr-19 19-1575 SISON, EMELDA S. 2147 INT TOMAS MAPUA ST. BRGY 358 STA. CRUZ MANILA - 1,060.00 - 1,060.00 11-Apr-19 19-1576 PRIETO, MONINA G. BLK 2 AREA 2 ST. BRGY SAWATA CALOOCAN CALOOCAN - CITY 1,235.00 - 1,235.00 11-Apr-19 19-1577 PALAGANAS, DALISAY M. 17 A ANGELO ST. BRGY NS AMORANTO QUEZON CITY - 1,235.00 - 1,235.00 11-Apr-19 19-1578 PESINO, JADE N. BLK. 6 LOT 6 COIMBRA ST. BRGY LIAS MARILAO BULACAN - 1,235.00 - 1,235.00 11-Apr-19 19-1579 GONJURAN, JILYN A. CORONEL COMPOUND ST. BRGY BAGBAG NOVALICHES - QUEZON CITY 1,235.00 - 1,235.00

Page 26 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

11-Apr-19 19-1580 PILAPIL , EDNA V. PHASE 6 GOZON LETRE ST. BRGY TONSUYA MALABON - CITY 415.00 - 415.00 11-Apr-19 19-1581 LIVARA, MARLON M. 2550 P. GUEVARRA ST. BRGY 367, ZONE 37 STA. CRUZ - MANILA 1,235.00 - 1,235.00 11-Apr-19 19-1582 CIRIACO, LEONIDA C. BLK15 LOT17 PHASE2 CAMIA ST. BRGY SAN AGUSTIN - III DASMARINAS 1,235.00 CAVITE - 1,235.00 11-Apr-19 19-1583 ANGELES, RUTH P. 16 LOT4 BLK36-G KAPAC ST. BRGY 12 DAGAT-DAGATAN - CALOOCAN CITY 90.00 - 90.00 11-Apr-19 19-1584 COPADA, JACQUELYN E. 121 SAN MARCOS ST. BRGY 34 MAYPAJO CALOOCAN - CITY 530.00 - 530.00 11-Apr-19 19-1585 Delos Santos, Lolita B. 24 A ANICETA ST. KAINGIN RD ST. BRGY APOLONIO SAMSON- QUEZON 500.00CITY - 500.00 11-Apr-19 19-1586 LUMBANG, ROMEO M. PUROK 4 ST. BRGY SAN CARLOS CABIAO NUEVA ECIJA - 13,880.00 - 13,880.00 11-Apr-19 19-1587 OSORIO, RAQUEL E. # 1 ORETA SUBD. MAYSAN RD. ST. BRGY MAYSAN VALENZUELA - CITY 220.00 - 220.00 12-Apr-19 19-1588 SABELLANO, LEONOR D. 367 L. SANTOS ST. BRGY TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00 12-Apr-19 19-1589 MANLULU, FURIFICACION N. 1359 ALVAREZ NORTE ST. BRGY 267 TONDO MANILA - 525.00 - 525.00 12-Apr-19 19-1590 PERIANO, JOSEPHINE C. 27 MACANENENG ST. BRGY 155 BAGONG BARRIO CALOOCAN - CITY 370.00 - 370.00 12-Apr-19 19-1591 SANTOS, PRECY O. 63 BULACAN ST. BRGY 173 TONDO MANILA - 1,235.00 - 1,235.00 12-Apr-19 19-1592 BENTOY, CARMELO C. 10 CALLE ONSE ST. BRGY PARADA VALENZUELA CITY - 1,235.00 - 1,235.00 12-Apr-19 19-1593 PRINCESA, DELIA E. PUROK 6 ST. BRGY MINANTE 1 KAWAYAN ISABELA - 4,800.00 - 4,800.00 12-Apr-19 19-1594 ORDOÑEZ, ISABELITA D. BLK 9B L1 A3 PH2 HITO ST. BRGY LONGOS MALABON - CITY 2,680.00 - 2,680.00 12-Apr-19 19-1595 FALCON, PAG-ASA M. 1027 QUIRICADA ST. BRGY 339 STA. CRUZ MANILA - 820.00 - 820.00 12-Apr-19 19-1596 BONOSTRO, ANNABEL L. BRGY PATABOG MULANAY QUEZON PROVINCE - 5,500.00 - 5,500.00 12-Apr-19 19-1597 SANCHEZ, SULAIRA I. BLK42 LOT29 MELODY PLANES ST. BRGY MUZON SJFDM - BULACAN 7,920.00 - 7,920.00 15-Apr-19 19-1598 MARQUEZ, ROGELIO S. 40 B. ORCHID ST. BRGY LONGOS MALABON CITY - 90.00 - 90.00 15-Apr-19 19-1599 GALLANO, PASENCIA C. BRGY BUNSURAN III PANDI BULACAN - 130.00 - 130.00 15-Apr-19 19-1600 BAGTAS, ELVIRA I. 2314 TINDALO ST ST. BRGY 224 BLUMENTRIT MANILA - 90.00 - 90.00 15-Apr-19 19-1601 UMALI, RODLYN GEORGE C. BLK 43 LOT 30 AREA 1 ST. BRGY NONE SAN JOSE DEL - MONTE, BULCAN 530.00 - 530.00 15-Apr-19 19-1602 ALONZO, EDMUNDO D. B3 L35 PHASE 1C ST. BRGY NBBS NAVOTAS CITY - 170.00 - 170.00 15-Apr-19 19-1603 SANTIAGO, MARY GRACE O. 326 MAYA MAYA ST. BRGY 66 TONDO MANILA - 130.00 - 130.00 15-Apr-19 19-1604 BRAZIL, BENILDA P. 254 ALBATROSS ST. BRGY 122 TONDO MANILA - 1,235.00 - 1,235.00 15-Apr-19 19-1605 BAUTISTA, ESTRELITA G. #3430 JC CRUZ, BRGY 189, TONDO, MANILA - 1,200.00 - 1,200.00 15-Apr-19 19-1606 MAGADA, JOSEPH A. 3235 MARULAS ST. BRGY 193 BARRIO OBRERO, TONDO - MANILA 2,680.00 - 2,680.00 15-Apr-19 19-1607 OFALIA, ROWEL V. 463 PALTOK ST. BRGY 426 STA. MESA MANILA - 2,680.00 - 2,680.00 15-Apr-19 19-1608 TOSTON, FRESCILLA A. 136 PH-1, LETRE ROAD ST. BRGY TONSUYA GOZON COMP - MALABON CITY 805.00 - 805.00 15-Apr-19 19-1609 VELASCO, MADEL M. 1510 MALANGGAM ST. BRGY BULIHAN MALOLOS BULACAN - 585.00 - 585.00 16-Apr-19 19-1610 VELASQUEZ, RUDNEY JAMES E. 12 B ROAD 8 ST. BRGY PROJ 6 QUEZON CITY - 940.00 - 940.00 16-Apr-19 19-1611 MASULA, JAYPEE B. 777 SITIO KABATUHAN ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 2,980.00 - 2,980.00 16-Apr-19 19-1612 RODELAS, RODMARK S. 22 SAN ROQUE ST. BRGY CORAZON DE JESUS SAN JUAN - MANILA 1,235.00 - 1,235.00 16-Apr-19 19-1613 LLEMOS, LEILANI G. 1024 A. MARIANO ST. BRGY 33 CALOOCAN CITY - 415.00 - 415.00 16-Apr-19 19-1614 BADUYA, LEONORA R. R10, NORTH B BLVD. SOUTH ST. BRGY SITIO STO. NIÑO - NAVOTAS CITY 8,010.00 - 8,010.00 16-Apr-19 19-1615 TORCINO, DOMITILLA B. 63 AREA 1, FAMILY COMPOUND ST. BRGY KARUHATAN - VALENZUELA CITY715.00 - 715.00 16-Apr-19 19-1616 RAPSING, MILETTE M. BLK 57 LOT 1 ST. BRGY BAGONG SILANG SAN PEDRO - LAGUNA 545.00 - 545.00 16-Apr-19 19-1617 MONTECILLO, ELESIO E. BLK. 11 LOT 1 SAPHICA PANACLAYAN ST. BRGY MUZON - SAN JOSE DEL MONTE 80.00 BULACAN - 80.00 16-Apr-19 19-1618 MARTIN, LETICIA T. 2770 J. BENITA ST. GAGALANGIN ST. BRGY 186 TONDO - MANILA 6,230.00 - 6,230.00 16-Apr-19 19-1619 DOMONDON, SERVILLA S. 37 TAGAYTAY ST. BRGY 131 CALOOCAN CITY - 11,800.00 - 11,800.00 16-Apr-19 19-1620 KOH, VILMA N. 135 ISAROG ST. BRGY SALVACION LA LOMA QUEZON - CITY 2,500.00 - 2,500.00 17-Apr-19 19-1621 CAJAYON, VIVIAN N. PRESCILLA ST. BRGY 355 STA. CRUZ MANILA - 715.00 - 715.00 17-Apr-19 19-1622 APOSTOL, ERICO T. 912 GERARDO ST. BRGY 561 SAMPALOC MANILA - 90.00 - 90.00 17-Apr-19 19-1623 CUSTODIO, CONRADO M. BLK 4 KADIMA LETRE ROAD ST. BRGY TONSUYA MALABON - CITY 1,235.00 - 1,235.00 17-Apr-19 19-1624 BALUYOT, ROSIE C. 236 KABULUSAN 1-A ST. BRGY 24 CALOOCAN CITY - 210.00 - 210.00 17-Apr-19 19-1625 ATANACIO, ROLANDO T. 246 ST. BRGY 168 CALOOCAN CITY - 530.00 - 530.00 17-Apr-19 19-1626 IGAY, RODRIGO C. 42 CABANAAS ST. CENTRAL SIGNAL VILL. TAGUIG - 530.00 - 530.00 17-Apr-19 19-1627 BECHAYDA, HERMINIA A. 272 ADELFA ST. BRGY 132 BAGONG BO. CALOOCAN CITY- 5,105.00 - 5,105.00 22-Apr-19 19-1628 LEAL, NILDA A. 3 MALVAR ST. BRGY MANGGAHAN PASIG CITY - 720.00 - 720.00 22-Apr-19 19-1629 BAE, BERNARD R. BLK.38 LOT 3 ST. BRGY 12 CALOOCAN CITY - 2,500.00 - 2,500.00 22-Apr-19 19-1630 BERNARDO, NIDA C. 258 SAYOTES ST. BRGY 103 TONDO MANILA - 805.00 - 805.00 22-Apr-19 19-1631 Surara, Lilybeth E. PHASE 9 PACKAGE 3-C BLK 51 LOT 4 DAMAYAN ST. BAGONG- SILANG CALOOCAN 485.00 CITY - 485.00 22-Apr-19 19-1632 SUERTE, JUDYN BONN J. BLK 6 LOT 4 GE PAMA LOER TIBAGAN ST. BRGY GEN - T. DE LEON VALENZUELA 2,500.00 CITY - 2,500.00 23-Apr-19 19-1633 CANARY, MELISSA V. 2ND ST, MANILA NORTH CEMETERY ST. BRGY 372 STA - CRUZ MANILA 1,475.00 - 1,475.00 23-Apr-19 19-1634 CAFE, RUFINO I. PAMATO TURCILLO ST. BRGY 28 DAGAT- DAGATAN -CALOOCAN CITY 990.00 - 990.00 23-Apr-19 19-1635 MIPARANUM, RICHARD B. 12 BAGONG KALSADA ST. BRGY TANGOS NAVOTAS CITY- 485.00 - 485.00 23-Apr-19 19-1636 Nagal, Ofelia T. 2824 MOLAVE ST. BRGY 203 TONDO MANILA - 1,235.00 - 1,235.00 23-Apr-19 19-1637 VILLAGRACIA, FLORA D. 72-I DIWA ST ST. BRGY 59 NONE CALOOCAN CITY - 210.00 - 210.00 23-Apr-19 19-1638 MAURICIO, ANALYN T. BLK. 3 LOT 0141 SITIO PUSAWAN ST. BRGY USUSAN - TAGUIG CITY 1,235.00 - 1,235.00 23-Apr-19 19-1639 BANAAG, GETULIO P. 90 LIBIS GODISCO ST. ST. BRGY 22 NONE CALOOCAN - CITY 11,800.00 - 11,800.00 24-Apr-19 19-1640 CASALJAY, SHENA B. BLK 25 LOT 13 PH1A ST. BRGY NBBS DAGAT-DAGATAN - NAVOTAS CITY 1,235.00 - 1,235.00

Page 27 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

24-Apr-19 19-1641 RAMOS, ARLENE O. 10 JM TEMPLORA ST. BRGY SANTULAN MALABON CITY - 530.00 - 530.00 24-Apr-19 19-1642 LABAY, PABLITO L. 44 MASAYA ST. BRGY OLD CAPITOL SITE QUEZON CITY - 940.00 - 940.00 24-Apr-19 19-1643 ZAFE, LILIBETH L. BLK. 61 LOT 21 ITALY ST. BRGY MUZON HARMONY HILLS - SAN JOSE DEL 7,340.00 MONTE BULACAN - 7,340.00 24-Apr-19 19-1644 REYES, ELIZABETH 11 MESINA ST. BRGY TINAJEROS MALABON CITY - 940.00 - 940.00 25-Apr-19 19-1645 PABUSTAN, ANGELINA S. 1024 MARIANO ST. BRGY 33 MAYPAJO CALOOCAN - 1,005.00 - 1,005.00 25-Apr-19 19-1646 GUALBERTO, LYDIA V. 175 DR. ALEJOS ST. BRGY SALVACION LALOMA, QUEZON - CITY 2,500.00 - 2,500.00 25-Apr-19 19-1647 ABRILLA, PLACER A. 1542 INTERIOR 9 PANDAY PIRA EXTENSION ST. BRGY - 61 TONDO MANILA 720.00 - 720.00 25-Apr-19 19-1648 LABORTE, WILMA N. 7D STO. NIÑO ST. BRGY 110 DON BOSCO, TONDO MANILA - 615.00 - 615.00 25-Apr-19 19-1649 DALIDA, PACITA M. 1139 INTERIOR 55 NEW ANTIPOLO ST. BRGY 216 TONDO - MANILA 2,120.00 - 2,120.00 25-Apr-19 19-1650 SAN ANTONIO, ADORACION S. 449 PUTING BATO ST. BRGY TIGPALAS SAN MIGUEL - BULACAN 7,340.00 - 7,340.00 26-Apr-19 19-1651 ORBE, SHIELA MAY G. 507 BALINTAWAK ST. BRGY 246, ZONE 2 TONDO MANILA - 210.00 - 210.00 26-Apr-19 19-1652 LEE, JECELY M. 88 PIYO ST. BRGY MARULAS VALENZULA CITY - 2,350.00 - 2,350.00 26-Apr-19 19-1653 ORPIADA, ANGELITO V. BLK N34 LOT 63 ST. BRGY MALAGASANG IMUS CAVITE - 535.00 - 535.00 4-Jun-19 19-1654 CACHERO, CARR BENEDICT A. 9096 INT.13, G. PERFECTO ST. BRGY 157 TONDO 3,120.00 MANILA - - 3,120.00 14-Jun-19 19-1655 VENTANILLA, LEEZBETH C. 3040 MALIKLIK ST. BRGY 184 TONDO MANILA - 350.00 - 350.00 17-Jun-19 19-1656 ORTEGA, ESPERANZA PHASE 7 BLK 13 LOT 3 ST. BRGY NONE VILLA ROSA - SAN PEDRO 350.00 - 350.00 17-Jun-19 19-1657 POLO, ERLINDA M. BLK 11, LOT 14 ST. BRGY SAN DIONISIO DASMARIÑAS - CAVITE 350.00 - 350.00 25-Jun-19 19-1658 RAPSING, EDEN D. 8 ZAPOTE ST. BRGY 134 BAGONG BARRIO CALOOCAN - CITY 350.00 - 350.00 26-Jun-19 19-1659 MARTINEZ, ANABELLE A. 1879 BIAK NA BATO ST. BRGY 249 TONDO MANILA - 1,200.00 - 1,200.00 27-Jun-19 19-1660 PEREZ, DENNIS 265 LICO ST BRGY 210 ZONE 19 TONDO MANILA - - 40,000.00 40,000.00 27-Jun-19 19-1661 BUSBOS, ROSALINDA L2 BLK 5 PH 2 PARADISE VILLAGE BRGY. TONSUYA 3,324.00 MALABON CITY - - 3,324.00 27-Jun-19 19-1662 REYES, ELIZABETH 11 MESINA ST. BRGY TINAJEROS MALABON CITY 3,889.50 - - 3,889.50 27-Jun-19 19-1663 FACTURANAN, JHUAN IMMANUEL1621 KHRISTO SOLER ST. BRGY 309 STA. CRUZ MANILA - - 205.40 205.40 30-Jun-19 19-1664 ORTIGAS, LIGAYA B. 8 C DE JESUS ST. BRGY CONCEPCION MALABON CITY - 10,200.00 - 10,200.00 28-Jun-19 19-1665 SEVILLANO, CAMILLE C. BLK 7 LOT 3 BUWAN BUWAN ST. BRGY NBBS DAGAT-DAGATAN 234.00 NAVOTAS - CITY - 234.00 1-Jun-19 19-1666 TAPEC, FELICIANO R. 866 INT 1 PALAWAN ST. BRGY 571 SAMPALOC MANILA - - 35,706.41 35,706.41 7-Jun-19 19-1667 CALDERON, FLORA C. 378 M. CASTRO CARIDAD ST. BRGY NONE CAVITE CITY - - 2,910.42 2,910.42 7-Jun-19 19-1668 QUINTOS JR, DIONITO A. B52 L4 1C BUWAN-BUWAN ST. BRGY NBBS KAULARAN - VILL NAVOTAS CITY - 27,937.56 27,937.56 7-Jun-19 19-1669 GUMATAY, MARIO G. 662 KALABASA ST. BRGY ENCANTO ANGAT BULACAN - - 11,854.26 11,854.26 7-Jun-19 19-1670 TERRANO, JOHN WAYNE O. 1650 A. RIVERA ST. BRGY 239 TONDO MANILA - - 6,701.77 6,701.77 12-Jun-19 19-1671 MALLA, JHON PATRICK 123 DON BENITO ST. BRGY 21 CALOOCAN CITY - - 10,385.53 10,385.53 12-Jun-19 19-1672 MARCHAN, ROBERTO D. P10-A PCKG5 BLK37 LOT15 ST. BRGY 176 BAGONG SILANG - CALOOCAN CITY - 53,864.92 53,864.92 12-Jun-19 19-1673 IBRAHIM, LINOG S. ILAYA ST. BRGY 4 ALFONSO CAVITE - - 4,488.60 4,488.60 12-Jun-19 19-1674 VALDEZ, ROBERTO P. 7 ZONE 1 ST. BRGY TANGOS BALIUAG BULACAN - - 8,425.59 8,425.59 19-Jun-19 19-1675 SAMBITAN, VICENTE S. LATERO GREEN VALLEY ST. BRGY SAN NICOLAS BACOOR - CAVITE - 24,143.99 24,143.99 19-Jun-19 19-1676 JUGARAP, REMEDIOSO JR. C. AREA 1 PHASE 3C BLOCK 10C LOT 28 ST. BRGY 20 KAUNLARAN - VILLAGE CALOOCAN - CITY 959.36 959.36 19-Jun-19 19-1677 Jalandoon Jr., Benito B. 2052 ANACLETO ST. ST. BRGY 354 STA CRUZ MANILA - - 13,978.10 13,978.10 19-Jun-19 19-1678 TAYAO, PEPITO S. BLK 11 LOT 4 CELINA PLANES ST. BRGY MALAGASANG - 1 IMUS CAVITE - 8,466.38 8,466.38 20-Jun-19 19-1679 GEPIGA, JOMAR M. BLOCK 22 LOT 20 MATIYAGA ST. BRGY BAGONG BUHAY - SAN JOSE DEL MONTE - BULACAN 4,848.58 4,848.58 20-Jun-19 19-1680 FELICIANO, DANIEL M. 6 J PONCE ST. BRGY TRIANGLE SAN PEDRO LAGUNA - - 16,125.86 16,125.86 20-Jun-19 19-1681 SISON, JULITA V. BLOCK 9 LOT 9 MULAWIN ST. BRGY STO. NIÑO PASAY - CITY - 17,856.78 17,856.78 3-Jun-19 19-1682 MINDO, NOLI M. CAMANSILES ST. BRGY 4 ROMBLON ROMBLON - - 10,521.91 10,521.91 4-Jun-19 19-1683 ASCADO, FERNANDO R. PINARON EAST ST. BRGY GUIDDAM ABULOG CAGAYAN - VALLEY - 7,002.81 7,002.81 4-Jun-19 19-1684 BALINGIT, SANTIAGO III C. 080 B ST. BRGY ANOLING CIRCA MENDEZ CAVITE - - 3,325.94 3,325.94 12-Jun-19 19-1685 JUNIO, JOHN MARK I. SAN IGNACIO ST. BRGY GULOD NOVALICHES QUEZON - CITY - 19,203.29 19,203.29 18-Jun-19 19-1686 DELGADO, JOEL L. ULANG ST. BRGY TATALA BINANGONAN RIZAL - - 6,160.84 6,160.84 16-Jun-19 19-1687 BORLAIN, LOVELYN JOYCE C. 314 BARASOAIN ST. BRGY LITTLE BAGUIO SAN JUAN - MANILA - 3,510.75 3,510.75 15-Jun-19 19-1688 JOVERO, MARIBETH S. 2139 ELIAS ST. BRGY 351 STA. CRUZ MANILA - - 11,297.04 11,297.04 15-Jun-19 19-1689 GUTIERREZ, DARYL DAVE C. M SANTOS ST. BRGY INAON PULILAN BULACAN - - 2,432.55 2,432.55 28-Jun-19 19-1690 RAMOS, MELODY L. 047 DURIAN ST. BRGY TALON ADMIRAL SUBD LAS PIÑAS - CITY - 80.50 80.50 28-Jun-19 19-1691 VIDUYA, RAVEN F. 285 ACASIA SAN MIGUEL ST. BRGY 645 MANILA - - 9,414.16 9,414.16 29-Jun-19 19-1692 CORALES, ELVIRA R. 358 EVERLASTING ST. ST. BRGY NBBS NAVOTAS CITY - - 3,566.05 3,566.05 29-Jun-19 19-1693 YBANEZ, LEANDRO III Q. 312 ORTEGA ST. BRGY 33 TONDO MANILA - - 43,867.51 43,867.51 29-Jun-19 19-1694 SANTIAGO, JAROLITO ARELLANO ST. BRGY 41 CAVITE - - 6,843.37 6,843.37 30-Jun-19 19-1695 MENDINA, CLARITA E. 680 TAGAYTAY ST. BRGY 126 BARRIO SAN JOSE CALOOCAN - CITY - 3,766.82 3,766.82 30-Jun-19 19-1696 DELA ROSA, SEANEL JANE C. 5 KAB MARTIN ST. BRGY TINAJEROS MALABON CITY - - 6,844.79 6,844.79 20-Jun-19 19-1697 CASUGA, RYZEL THOMMY S. BRGY MANGGA QUEZON ISABELA - - 12,643.88 12,643.88 18-Jun-19 19-1698 TOLEDO, ERNESTO B. 917 CAMP VICENTE LIM ST. BRGY MAYAPA CALAMBA - LAGUNA - 63,428.58 63,428.58 22-Jun-19 19-1699 FERNANDEZ, MOREYCE C. 269 P MARCOS ST. BRGY COLOONG 2 VALENZUELA CITY- - 3,592.78 3,592.78 21-Jun-19 19-1700 ISLA, ROGER B. PUROK NAMNAMA ST. BRGY BAQUEROS SUR MONCADA - TARLAC - 4,068.20 4,068.20 21-Jun-19 19-1701 PORTULIN, NANCY C. BRGY MALIGAYA LUBANG OCCIDENTAL MINDORO - - 309.00 309.00

Page 28 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

21-Jun-19 19-1702 DACURAN, ROGER E. 403 BLOCK 40 WELFAREVILLE COMPOUND ST. BRGY - ADDITION HILLS MANDALUYONG - CITY 4,035.66 4,035.66 21-Jun-19 19-1703 POLLEROS, ELIZABETH M. SITIO GITNA ST. BRGY DON BOSCO PARAÑAQUE CITY - - 8,143.90 8,143.90 20-Jun-19 19-1704 MARABILLO, TRISTAN A. PHASE 1 LIKE VIEW ST. BRGY HALANG CALAMBA LAGUNA - - 5,254.38 5,254.38 20-Jun-19 19-1705 MORALES , MARVIN G. 1422- A LORENZO ST. BRGY 361, ZONE 36 STA. CRUZ - MANILA - 22,909.76 22,909.76 20-Jun-19 19-1706 ESPIRITU, HERMOGENES C. BRGY PANTALAN NASUGBU BATANGAS - - 18,721.94 18,721.94 20-Jun-19 19-1707 ROJAS, VIOLETA H. BRGY PANGGALAAN CALAPAN CITY ORIENTAL MINDORO - - 28,540.49 28,540.49 20-Jun-19 19-1708 VILLEGAS, APRIL L. 173 BLOCK 81 LOT 4 KAWAL PUROK 1 ST. BRGY 28 CALOOCAN- CITY - 4,064.26 4,064.26 20-Jun-19 19-1709 DELA CRUZ, ROSITA S. 9 JAVIER ST. BRGY BARITAN MALABON CITY - - 33,218.20 33,218.20 20-Jun-19 19-1710 CELEDONIO, PAOLO S. 408 2ND 4RTH AVENUE ST. BRGY 118 GRACE PARK CALOOCAN- CITY - 2,087.53 2,087.53 20-Jun-19 19-1711 EMPRESO, MARLON R. BRGY POBLACION 61 REAL QUEZON - - 15,369.09 15,369.09 20-Jun-19 19-1712 AYO, AJ B. BLK. 1 LOT 2 PHASE 2 ST. BRGY BUROL 1 DASMARIÑAS - CAVITE - 3,269.78 3,269.78 20-Jun-19 19-1713 FAMATIGA, MATILDE F. BRGY LIWANAG ODIONGAN ROMBLON - - 2,379.21 2,379.21 20-Jun-19 19-1714 PENEDILLA, WILLIAM J. BRGY GI MARCO TABANGO LEYTE - - 12,401.51 12,401.51 20-Jun-19 19-1715 TAYAO, PEPITO S. BLK 11 LOT 4 CELINA PLANES ST. BRGY MALAGASANG - 1 IMUS CAVITE - 11,222.03 11,222.03 20-Jun-19 19-1716 RODRIGUEZ, JENNILYN P. 1283 INT. 21 TAMBUNTING ST. BRGY 375 STA. CRUZ - MANILA - 2,169.91 2,169.91 20-Jun-19 19-1717 ENCALLADO, REGINA L. 581 ST. BRGY SAN FERNANDO MALVAR BATANGAS - - 1,731.94 1,731.94 20-Jun-19 19-1718 TRINIDAD, LORETO D. BLOCK 5 LOT 11 DAO PROGRESSIVE VILLAGE ST. BRGY - TAGAPO STA. ROSA - LAGUNA 1,592.44 1,592.44 20-Jun-19 19-1719 ALFONSO JR, SILVINO V. 635 B.BULACAN ST. BRGY NONE TONDO MANILA - - 5,992.99 5,992.99 20-Jun-19 19-1720 LEGASPINA, MARIFE B. 1281 INT 43 TAMBUNTING ST. BRGY 373 STA CRUZ MANILA- - 1,211.56 1,211.56 20-Jun-19 19-1721 PADERES, FELIPE JR. T. BLOCK 40 WELFAREVILLE ST. BRGY ADDITION HILLS - MANDALUYONG CITY - 6,494.74 6,494.74 20-Jun-19 19-1722 UGADAN, KAERON G. 1988 G PERFECTO ST. BRGY 157 TONDO MANILA - - 2,294.89 2,294.89 20-Jun-19 19-1723 BARDELAS, MARK JADEN -. SITIO AGUSUHIN ST. BRGY CAWAG SUBIC ZAMBALES - - 28,575.08 28,575.08 20-Jun-19 19-1724 SANTILLAN, DINA R. BLK 10 AREA A POINT SITIA ST. BRGY COMMONWEALTH - QUEZON CITY - 593.88 593.88 20-Jun-19 19-1725 BORNASAL, ROMMEL L. LOT 6 BLOCK 165 PHASE 4 PALIPARAN SITE ST. BRGY - PALIPARAN 3 DASMARIÑAS - CAVITE 13,410.36 13,410.36 20-Jun-19 19-1726 VIPINOSA, JOViTH C. BLOCK 1 C MOLINA ST. BRGY VENTERIALES DALAN - DANAN VALENZUELA - CITY 27,572.61 27,572.61 24-Jun-19 19-1727 HILARIO, MANUEL V. BRGY MANHAC LOOC ROMBLON - - 22,779.74 22,779.74 20-Jun-19 19-1728 LIBUNAO, RITA MARIA T. BLK 8-A LOT 18 PH 3-C TALANGKA ST. BRGY 22 DAGAT-DAGATAN - CALOOCAN - CITY 11,298.43 11,298.43 20-Jun-19 19-1729 GARCIA, JOSEPH G. 15 J TORRES ST. BRGY SAN JOSE ANTIPOLO RIZAL - - 4,538.99 4,538.99 20-Jun-19 19-1730 GAJO, SALVADOR JR. Q. 37 C MAGSAYSAY ST. BRGY 107 TONDO MANILA - - 11,083.95 11,083.95 20-Jun-19 19-1731 CARIDO, QUIRINO S. GATE1 RIVERSIDE, STA.THERESA ST. BRGY STO.NIÑO - PARAÑAQUE CITY - 24,122.61 24,122.61 1-Jun-19 19-1732 DE LUNA, MARC R. SITIO ATANG ST. BRGY CAWAYANIN ILAYA CATANAUAN - QUEZON - 141,964.23 141,964.23 21-Jun-19 19-1733 BAGSIC, JOYCE O. BLOCK 5 LOT 29 LATERAZA B ST. BRGY BUKANDALA 9,198.00 1 IMUS CAVITE - - 9,198.00 28-Jun-19 19-1734 TOLENTINO, FLORINDA R. 303 SAN FRANCISCO ST. BRGY PANTAO PULILAN 3,324.00 BULACAN - - 3,324.00 23-Jun-19 19-1735 ASTRERA, ROMEO F. BRGY PAMPLONA GENERAL NACAR QUEZON - - 48.65 48.65 23-Jun-19 19-1736 RUSSEL, GLORIA A. B 44 L29 PHASE1C BONITO ST. BRGY NBBS NAVOTAS - CITY - 30,244.12 30,244.12 23-Jun-19 19-1737 REYES, MARIA LEANDRA O. 37 DOÑA SOLEDAD, BETTER LIVING SUBDIVISION ST. - BRGY DON BOSCO PARAÑAQUE - CITY 5,012.09 5,012.09 23-Jun-19 19-1738 TANAEL, JUAN MIGUEL Q. BLOCK 18 LOT 17 FILIPINO AVENUE, TEACHERS BLISS - ST. BRGY BALONBATO - QUEZON CITY 22,261.16 22,261.16 23-Jun-19 19-1739 SALVADOR, LEON G. 4F FIDEL T.S CRUZ SUBDIVISION ST. BRGY SAN AGUSTIN - NOVALICHES QUEZON - CITY 42,818.56 42,818.56 23-Jun-19 19-1740 SALGADO, DANILO S. BLK. 4 LOT. 3 JAVONEROS ST. ST. BRGY MOLINO 4 BACOOR - CAVITE - 9,577.29 9,577.29 23-Jun-19 19-1741 DELA CRUZ, ZHELVIN P. 1743 INT. 3 F. VARONA ST. BRGY 85 TONDO MANILA - - 4,834.71 4,834.71 23-Jun-19 19-1742 NAPALAN, ALEXANDER L. 92 CARNATION PANGAKO ST. BRGY 151 BAGONG BARRIO - CALOOCAN CITY - 11,090.52 11,090.52 23-Jun-19 19-1743 BUGNOT, NIDA 329 ARACITE ST. BRGY TENEJEROS MALABON CITY - - 29,709.56 29,709.56 23-Jun-19 19-1744 MINDO, NOLI M. CAMANSILES ST. BRGY 4 ROMBLON ROMBLON - - 37,626.38 37,626.38 23-Jun-19 19-1745 HAINTO, RUSSEL D. 1635 F VARONA ST. BRGY 80 TONDO MANILA - - 2,607.15 2,607.15 23-Jun-19 19-1746 VENANCIO, JHON NEKO R. BRGY ESPAÑA SAN FERNANDO ROMBLON - - 22,065.80 22,065.80 23-Jun-19 19-1747 MONTOYA, MARVIN J. 256 RAMELON ST. BRGY 156 EAST BAGONG BARRIO - CALOOCAN CITY - 5,743.88 5,743.88 23-Jun-19 19-1748 GUMATAY, MARIO G. 662 KALABASA ST. BRGY ENCANTO ANGAT BULACAN - - 23,496.92 23,496.92 23-Jun-19 19-1749 MEDINA, EDUARDO Y. 1117 AREA A GATE 5 PAROLA ST. BRGY 20, ZONE 1 TONDO - MANILA - 11,026.61 11,026.61 23-Jun-19 19-1750 PATOL, VIRGINIA T. PHASE 4 LOT 34 BLOCK 19 SAN JOSE HEIGHTS ST. BRGY - NONE SAN JOSE DEL - MONTE BULACAN 9,157.08 9,157.08 23-Jun-19 19-1751 CALUPAD, MARK TYRONE C. 356 AMABA COMPOUND ST. BRGY SAN VICENTE BIÑAN - LAGUNA - 6,138.51 6,138.51 23-Jun-19 19-1752 DELA CRUZ, RONALDO T. SITIO AGBUYOG ST. BRGY CAPACLAN ROMBLON ROMBLON - - 12,975.64 12,975.64 23-Jun-19 19-1753 ILAGAN, ANGELITO M. BRGY JELERANG KAWAYAN SAN PASCUAL BATANGAS - - 99,094.69 99,094.69 23-Jun-19 19-1754 SABAYO, KARL LAWRENCE C. 1090 ARAE A GATE 5 PAROLA ST. BRGY 20 TONDO MANILA - - 7,490.62 7,490.62 13-Jun-19 19-1755 ANGELES, ELMER S. BRGY TALIMONDOK ORANE BATAAN - - 46,929.46 46,929.46 12-Jun-19 19-1756 TALIPTIP, JOAN KHAILA L. 101 NADURATA 4TH AVENUE ST. BRGY 46 CALOOCAN - CITY - 4,787.39 4,787.39 12-Jun-19 19-1757 TAÑALAS, AHKIRA NHEESHA -. BRGY 360 STA. CRUZ MANILA - - 1,646.23 1,646.23 12-Jun-19 19-1758 DE LEON, ADRIAN D. 197 M. SANTOS ST. BRGY CAMACHILE DOÑA REMEDIOS - TRINIDAD BULACAN - 20,472.98 20,472.98 11-Jun-19 19-1759 ESPELA, RIZALINA I. 2629 -E INT2 DAGUPAN EXT ST. BRGY 164 TONDO MANILA - - 3,646.11 3,646.11 11-Jun-19 19-1760 VILANDO, MARICHAN D. BRGY NBBS NAVOTAS CITY - - 4,885.66 4,885.66 4-Jun-19 19-1761 SAAVEDRA, CJ B. BRGY CENTRAL BICUTAN TAGUIG - - 1,184.45 1,184.45 11-Jun-19 19-1762 VELEZ, MARIA FE C. ROAD 10 SITIO STO. NIÑO ST. BRGY NBBS NAVOTAS - CITY - 11,399.39 11,399.39

Page 29 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

11-Jun-19 19-1763 LUMIBAO, LILIA B. BRGY STO. TOMAS CALAUAN LAGUNA - - 10,091.76 10,091.76 7-Jun-19 19-1764 DIWATA, JUNNEL Q. 4815 KALAYAAN AVENUE ST. BRGY TEJEROS MAKATI - CITY - 8,795.42 8,795.42 26-Jun-19 19-1765 REYES, EUSEBIO C. 71 C WEST RIVERSIDE ST. BRGY DEL MONTE SAN FRANCISCO - DEL MONTE - QUEZON CITY 524.32 524.32 28-Jun-19 19-1766 FIGUERAS, ANA KATRINA V. BRGY PATUBIG SAN RAFAEL BULACAN - 8,500.00 - 8,500.00 12-Jun-19 19-1767 AGAPITO, RAYMOND I. BRGY KARUHATAN VALENZUELA CITY - - 18.49 18.49 12-Jun-19 19-1768 QUIMAÑO, REYNALDO O. BRGY SAPA II ROSARIO CAVITE - - 8,519.60 8,519.60 12-Jun-19 19-1769 MOJAR, JAWORSKIE M. 36 LUPHA GOZON ST. BRGY TONSUYA LETRE COMPOUND - MALABON CITY - 4,400.66 4,400.66 12-Jun-19 19-1770 ANGELES, ELMER S. BRGY TALIMONDOK ORANE BATAAN - - 46,929.46 46,929.46 14-Jun-19 19-1771 CRISTOBAL, ROSSLYN C. BRGY CAALIBANGBANGAN CABANATUAN NUEVA ECIJA - - 9,583.84 9,583.84 14-Jun-19 19-1772 ATENCIO, KIRANIEL JADE 293 STOTSENBURG ST. BRGY 67 CALOOCAN CITY - - 3,286.40 3,286.40 14-Jun-19 19-1773 DIMARUCUT, EDDIE C. 336 ZABALA ST. BRGY 25 TONDO MANILA - - 10,047.94 10,047.94 14-Jun-19 19-1774 ABELLA, ARTHUR M. 2674 DAGUPAN EXT. ST. BRGY 165 TONDO MANILA - - 2,642.35 2,642.35 15-Jun-19 19-1775 BOBADILLA JR, LEONARDO D. BRGY DAYAP CALAUAN LAGUNA - - 24,577.89 24,577.89 13-Jun-19 19-1776 ALGABRE, KHENT LUKE A. BRGY UGONG VALENZUELA CITY - - 13,366.06 13,366.06 9-Jun-19 19-1777 ALEGRIA, KEN V. 2852 M HIZON ST. BRGY 378 STA CRUZ MANILA - - 3,878.65 3,878.65 8-Jun-19 19-1778 IGNO, NERIE JEAN 72 SAN MIGUEL RD. ST. BRGY 275 BINONDO MANILA - - 50,513.80 50,513.80 19-Jun-19 19-1779 SANTIAGO, ARNEL G. 1613 METRIC ST. BRGY 497 SAMPALOC MANILA - - 185,417.23 185,417.23 4-Jun-19 19-1780 SAJONIA, ALBERT S. 240 ST. BRGY 3 QUIAPO MANILA - - 117,582.10 117,582.10 16-Jun-19 19-1781 SANTOS, ERNESTO T. MATANDA ST. BRGY BATASAN SAN MIGUEL BULACAN - - 105,806.58 105,806.58 30-Jun-19 19-1782 LIM, JOSIELYN F. 441 INT 23 INOCENCIO ST. BRGY 93 TONDO MANILA - - 287,762.30 287,762.30 29-Jun-19 19-1783 DAYAO, ELIZABETH G. BRGY SOLEDAD STA. ROSA NUEVA ECIJA - - 121,896.77 121,896.77 2-Jun-19 19-1784 DAGATAN, VICENTE P. BLOCK 36 MANDALUYONG HILLS ST. BRGY BEBELADAN - EL NIDO PALAWAN - 509,440.38 509,440.38 20-Jun-19 19-1785 BELLO, KIM JUSTINE E. 5 DON MANUEL KAINGIN ROAD ST. BRGY APOLONIO - SAMSON BALINTAWAK - QUEZON CITY 106,615.14 106,615.14 20-Jun-19 19-1786 ANDRES, ARLENE Y. 613 MAGNOLIA STREET, ST. BRGY GEN. T. DE LEON, - VALENZUELA CITY - 331,844.91 331,844.91 1-Apr-19 19-1787 URBANO, DIOSDADITA BRGY ANTIPOLO BONGABON NUEVA ECIJA - 1,070.00 - 1,070.00 26-Apr-19 19-1788 CAIGAS, MARK LESTER A. 5154 SAN GREGORIO ST. BRGY GENTE DE LEON VALENZUELA - 1,235.00 - 1,235.00 25-Jun-19 19-1789 URSALES, VIRGINIA R. 282 JASMINE ST. BRGY 149 BAGONG BARRIO CALOOCAN 1,014.00 CITY - - 1,014.00 29-Jun-19 19-1790 SALAS, MARITESS D. 1739 CM RECTO AVE ST. BRGY 310 STA CRUZ MANILA - - 33,256.14 33,256.14 10-Jul-19 19-1791 MIRANO, ROBI ANDREI G. 18-C K7TH ST. ST. BRGY KAMUNING QUEZON CITY 194.60 - - 194.60 10-Jul-19 19-1792 LACBAYO, RUBY M. BLK7H LOT6 PHASE3E 1 PAMPANO ST. BRGY LONGOS - MALABON CITY 500.00 - 500.00 10-Jul-19 19-1793 GABAS, MERIAM C. PHASE 9 PACKAGE 6 BLK 71, LOT 5 ST. BAGONG SILANG - CALOOCAN CITY - 5,608.53 5,608.53 17-Jul-19 19-1794 QUEVEDO, MONALIZA C. 2137 RIZAL AVE. ST. BRGY 358 STA. CRUZ MANILA - - 3,490.46 3,490.46 28-Jun-19 19-1795 BALLENA DENNIS LIPA BATANGAS - 1,200.00 - 1,200.00 2-May-19 19-1796 VELASCO, JOYCEL C. BLK E-1 L9 ST. BRGY SAN MATEO DASMARIÑAS CAVITE - CITY 1,235.00 - 1,235.00 2-May-19 19-1797 VELASCO, JOYCEL C. BLK E-1 L9 ST. BRGY SAN MATEO DASMARIÑAS CAVITE - CITY 650.00 - 650.00 2-May-19 19-1798 ANTIC, NENA M. 545 STA. MARIA ST. BRGY TABANG PLARIDEL BULACAN - 11,800.00 - 11,800.00 2-May-19 19-1799 DE JUAN, ELIZABETH Z. 1392 ALVARADO EXT. ST. TONDO MANILA - 860.00 - 860.00 2-May-19 19-1800 RODRIGUEZ, JOSEFINA N. BRGY SAN ISIDRO II PAOMBONG BULACAN - 5,105.00 - 5,105.00 2-May-19 19-1801 ROXAS, RIZALINA BINUANGAN ST. BRGY PALIWAS OBANDO, BULACAN - 5,105.00 - 5,105.00 2-May-19 19-1802 DELA PEÑA, FRANCISCA G. B10 SITIO PUTING BATO ST. BRGY NBBS PROPER NAVOTAS - CITY 210.00 - 210.00 3-May-19 19-1803 ZAFE, LILIBETH L. BLK. 61 LOT 21 ITALY ST. BRGY MUZON HARMONY HILLS - SAN JOSE DEL 530.00 MONTE BULACAN - 530.00 3-May-19 19-1804 TOTING, RACQUEL Y. 110 BANAL ST. BAGONG BARRIO CALOOCAN CITY - 860.00 - 860.00 3-May-19 19-1805 SIAOTONG, NORA U. 721 MONTAÑA ST. BRGY 457 SAMPALOC MANILA - 5,105.00 - 5,105.00 3-May-19 19-1806 AROJO, RANDY C. 03 LILAC ST. BRGY NONE PASONG TAMO QUEZON CITY - 11,800.00 - 11,800.00 3-May-19 19-1807 AHONGON, ALMA N. 609-16 DE AGOSTO ST. BRGY 131 PASAY CITY - 5,105.00 - 5,105.00 6-May-19 19-1808 STA.CRUZ, LANCE JIMUEL S. 1577 METRICA ST. BRGY 500 SAMPALOC MANILA - 530.00 - 530.00 6-May-19 19-1809 GOROBAT, MERLY M. 1815 BLK. 16 LOT 2 SALMON ST. BRGY 8 DAGAT-DAGATAN - CALOOCAN 770.00 CITY - 770.00 6-May-19 19-1810 DUJA, MARLYN C. B32 EXT. PHASE 3 F1 DAGAT DAGATAN ST. BRGY 12 - CALOOCAN CITY 600.00 - 600.00 6-May-19 19-1811 SUÑIR, MIRASOL B. BLDG. 24 UNIT 419 ST. BRGY 128 BALUT, TONDO MANILA - 90.00 - 90.00 6-May-19 19-1812 YANQUILING, ANA RICHELLE A. 38 INAMAN ST. BRGY MASAMBONG QUEZON CITY - 770.00 - 770.00 6-May-19 19-1813 MANZANO, EMETERIO JR. M. 1501 JOSE ABAD SANTOS ST. BRGY 246 TONDO MANILA - 640.00 - 640.00 6-May-19 19-1814 CARIÑO, JUANITA C. BLOCK H UNIT 7 NORTH POINT TOWN HOMES SEMINARY - ROAD ST. BRGY 860.00 BAHAY TORO QUEZON - CITY 860.00 7-May-19 19-1815 CABUHAY, VENANCIA A. BLK 2 LOT 28 PULO BAUTISTA ST. BRGY PANGHULO - MALABON CITY 1,710.00 - 1,710.00 7-May-19 19-1816 STA. ANA, RICKY JAY C. BLK 60 LOT11 SOUTHVILLE 5A ST. BRGY LANGIWA BIÑAN - LAGUNA 1,235.00 - 1,235.00 7-May-19 19-1817 LIPAR, JONJON S. 1812 PRUDENCIA ST. BRGY 55 TONDO MANILA - 530.00 - 530.00 7-May-19 19-1818 SANCHEZ, LORETA J. CALLEJON 13 ST. BRGY HULUGAN TANZA CAVITE CITY - 1,235.00 - 1,235.00 7-May-19 19-1819 VALENZUELA, VILMA D. 7 CHICO ST. BRGY POTRERO MALABON CITY - 650.00 - 650.00 7-May-19 19-1820 RUADO, MUTYA L. ADARNA EXT. PUROK 14 UNIT 5 ST. BRGY COMMONWEALTH - QUEZON 1,565.00 CITY - 1,565.00 7-May-19 19-1821 CATAPANG, KESIA AMOR R. 37 KM GLORIOSO ST. BRGY PULONG BUHANGIN STA. - MARIA BULACAN 530.00 - 530.00 7-May-19 19-1822 OLVINA, KEVIN M. 1625 M. NATIVIDAD ST. STA. CRUZ MANILA - 1,235.00 - 1,235.00 7-May-19 19-1823 MARCOS, KATRINA FAYE ANN A. 102 BASILIO ST. BRGY ACASIA MALABON CITY - 530.00 - 530.00

Page 30 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

7-May-19 19-1824 DE GUZMAN , KRISTALYN C. 46 MAGINOO ST. BRGY 104 TONDO MANILA - 990.00 - 990.00 7-May-19 19-1825 BINASOY, EMELINDA M. LOT 14 BLK 23 SITIO KABATUHAN BRGY GEN. T. DE - LEON VALENZUELA 2,620.00 CITY - 2,620.00 7-May-19 19-1826 VALDEZ, OLIVIA T. 1070 M. BERNARDINO ST. BRGY UGONG VALENZUELA - CITY 6,230.00 - 6,230.00 7-May-19 19-1827 NAVARRO, ROSALINDA CATANGHALAN OBANDO, BULACAN - 6,970.00 - 6,970.00 7-May-19 19-1828 ESCAT, GINA P. 45.T POLICARPIO ST. BRGY SAN JOSE NAVOTAS CITY - 860.00 - 860.00 7-May-19 19-1829 BINASOY, EDNA T. BLK 11 LOT 3 PHASE 3 PEACE VILLAGE ST. BRGY SAN - LUIS ANTIPOLO 4,800.00 CITY - 4,800.00 7-May-19 19-1830 PASTORIL , CARMEN S. 88 ROAD 20 ST. BRGY BAHAY TORO PROJ. 8 QUEZON - CITY 210.00 - 210.00 7-May-19 19-1831 HEZETA, REYNALDO M. 118 MABALACAT ST. BRGY 112 6TH AVENUE CALOOCAN - CITY 11,800.00 - 11,800.00 7-May-19 19-1832 BUYAO, ELIZABETH B. 1752 KALIMBAS ST. BRGY 338 STA. CRUZ MANILA - 130.00 - 130.00 8-May-19 19-1833 URSUA, PEDRO G. 44 QUEZON ST ST. BRGY 112 TONDO MANILA - 900.00 - 900.00 8-May-19 19-1834 VELOSO, ELAYA PUROK 5 ST. BRGY 68 SAN FRANCISCO LEGASPI CITY - 5,105.00 - 5,105.00 8-May-19 19-1835 RAMOS, HELENITA M. 119 G. AGLIPAY ST. BRGY 65 CALOOCAN CITY - 5,105.00 - 5,105.00 8-May-19 19-1836 NUÑEZ, ROCHELLE R. 1148 SANTOS TEODORO ST. BRGY 197 TONDO MANILA - 2,350.00 - 2,350.00 8-May-19 19-1837 SISON, MA. TERESA A. 2148 ELIAS ST. BRGY 351 STA. CRUZ MANILA - 2,350.00 - 2,350.00 8-May-19 19-1838 BACUNAWA, ROSEMARIE D. 42 SAN LORENZO RUIZ ST. BRGY KALAYAAN ANGONO - RIZAL 1,235.00 - 1,235.00 8-May-19 19-1839 OREDINA, WILFREDO D. 28 MARZAN ST. BRGY 424 SAMPALOC MANILA - 900.00 - 900.00 8-May-19 19-1840 VILLARIN, ELFO O. 790 PUSO ST. ST. BRGY KOLOONG I VALENZUELA CITY - 675.00 - 675.00 8-May-19 19-1841 BORINAGA, GILMA T. BRGY TAGAPULAN SANTOSO WESTERN SAMAR - 340.00 - 340.00 8-May-19 19-1842 PALO, JOAQUINITA A. BRGY BARAS TANAUAN TACLOBAN, LEYTE - 980.00 - 980.00 8-May-19 19-1843 SANTOS, AURORA A. 23 CERAMIC ST. SANTOLAN MALABON CITY - 7,340.00 - 7,340.00 8-May-19 19-1844 DIZON, JULIETA Y. 500 DELPAN ST. BRGY 20 TONDO MANILA - 6,230.00 - 6,230.00 8-May-19 19-1845 AYOP, MILBERT M. PHASE 4 PUROK 1 ST. BRGY TAGUYTOY MALINAO, ALBAY - 1,950.00 - 1,950.00 8-May-19 19-1846 BARICAUA, JOCELYN O. 12 P. FAUSTINO ST. BRGY PUNTURIN VALENZUELA - CITY 1,235.00 - 1,235.00 8-May-19 19-1847 CAMPILLO, JOHN MATHEW S. BLDG 5 UNIT 501 PERMANENT HOUSING ST. BRGY 128 - TONDO MANILA 2,120.00 - 2,120.00 8-May-19 19-1848 ARANTE, RODOLFO T. 820 MAPALAD ST. BRGY SAN VICENTE STA. MARIA BULACAN - 1,235.00 - 1,235.00 8-May-19 19-1849 SING, RAYCHEM C. 20 E AQUINO ST. BRGY NIUGAN MALABON CITY - 1,060.00 - 1,060.00 9-May-19 19-1850 CARANDANG, MANUEL C. 2637 LICO ST ST. BRGY 211 TONDO MANILA - 440.00 - 440.00 9-May-19 19-1851 DESUASIDO, EDGARDO G. 83 P FAUSTINO ST. BRGY PUNTURIN VALENZUELA CITY- 530.00 - 530.00 9-May-19 19-1852 AQUINO, FERDINAND S. 513 H. VENTURA ST. BRGY 554 SAMPALOC MANILA - 2,350.00 - 2,350.00 9-May-19 19-1853 CHAVEZ, JULIET T. 86 DIMSON COMPOUND ST. BRGY TANYAG TAGUIG - 3,855.00 - 3,855.00 9-May-19 19-1854 MOLINA, LUCAS ISAIAH O. BLK5 LOT17 TOLEDO EXT ST. BRGY MOJON MALOLOS - BULACAN 1,060.00 - 1,060.00 9-May-19 19-1855 AMORES, JEFF A. BLOCK 15-A GASANGAN ST., ST. - BRGY 649 PORT AREA 890.00 MANILA - 890.00 9-May-19 19-1856 PECHAY, MARINA T. 338 ALTA VISTA ST. BRGY 160 BAESA CALOOCAN CITY - 2,500.00 - 2,500.00 9-May-19 19-1857 ILAO, DENESSA Q. 060 FRANCISCO VILLAGE ST. BRGY 2 LIPA CITY BATANGAS - 2,680.00 - 2,680.00 9-May-19 19-1858 AGUILAR, MERLINDA R. 79 MUÑOZ ST. BRGY BATASAN HILLS QUEZON CITY - 11,800.00 - 11,800.00 9-May-19 19-1859 CALMA, RILE C. BLOCK 64 LOT 8 PUROK 4 KAWAL ST. BRGY 28 DAGAT-DAGATAN - CALOOCAN 530.00 CITY - 530.00 9-May-19 19-1860 REYNON, REZEN L. 1530 A FELIX HUERTAS ST. BRGY 323 STA CRUZ MANILA - 2,350.00 - 2,350.00 9-May-19 19-1861 TARCENA, ROCELYN A. 66 BURGOS ST. BRGY CONCEPCION MALABON CITY - 7,340.00 - 7,340.00 9-May-19 19-1862 BATAC, SHIRLEY G. BRGY MAPULANG LUPA PANDI BULACAN - 1,235.00 - 1,235.00 9-May-19 19-1863 PAGSIBIGAN, JOSEFINA B. 4 SAN CRISTOBAL ST. BRGY STO. NINO QUEZON CITY - 5,105.00 - 5,105.00 9-May-19 19-1864 MANDAC, MA LOURDES M. OLD SANTOLAN RD ST. BRGY GEN T DE LEON VALENZUELA - VALENZUELA 980.00 CITY - 980.00 9-May-19 19-1865 ROSARIO, ELIZABETH O. N/A ST. BRGY POBLACION CAJIDIOCAN ROMBLON - 820.00 - 820.00 9-May-19 19-1866 DATINGUINOO, CRISTINA R. 2 MILAGROS AVE ST. BRGY DALIG ANTIPOLO CITY - 530.00 - 530.00 9-May-19 19-1867 AQUINO, MARK JAMES D. 35 JULIANA ST. BRGY POTRERO MALABON CITY - 1,060.00 - 1,060.00 9-May-19 19-1868 RAMOS, NOBY P. 1936 B. KATAMANAN ST. BRGY 233 TONDO MANILA - 650.00 - 650.00 9-May-19 19-1869 ABALETA, PERLITA P. 2032 MOLAVE ST. BRGY 165 PLEASANT VIEW BAGBAGUIN - CALOOCAN 7,340.00 - 7,340.00 9-May-19 19-1870 NIEZ, RICARDO R. ALLEY 4 ST. BAESA QUEZON CITY - 710.00 - 710.00 9-May-19 19-1871 DIZON, REYNALDO SR. T. 1281 INT 11 TAMBUNTING ST. BRGY 373 STA. CRUZ - MANILA 865.00 - 865.00 9-May-19 19-1872 FOLLERO, MARGIE H. BRGY TANDAAY NABUA CAMARINES SUR - 11,800.00 - 11,800.00 9-May-19 19-1873 RAMIREZ, ELENA 2234 D ANACLETO ST. BRGY 357 STA. CRUZ MANILA - 270.00 - 270.00 9-May-19 19-1874 RIVERA, JOSEPHINE B. B 14 LOT 2 FIESTA SOUTH ST. BRGY SALITAN II DASMARIÑAS - CAVITE 130.00 - 130.00 9-May-19 19-1875 TIMUAT, MA. THERESA G. 534 LOT 3 BLK 4 MANUNGGAL ST. BRGY TATALON QUEZON - CITY 980.00 - 980.00 10-May-19 19-1876 VARON, LUZVIMINDA D. 1680 VELASQUEZ ST. BRGY 82 TONDO MANILA - 640.00 - 640.00 10-May-19 19-1877 ANDAYA, RIHANNA U. 2297 F.B. HARRISON ST. BRGY 13 LIBERTAD PASAY CITY- 2,350.00 - 2,350.00 10-May-19 19-1878 FERNANDO, VIA CLARE B. 197 GEN. LUNA ST. BRGY 11 CALOOCAN CITY - 530.00 - 530.00 10-May-19 19-1879 CABAHUG, MARILYN D. MARY CHRIS HOMES, PH2 B10 L24 ST. BRGY BUKANDALA - 3 IMUS CAVITE 530.00 CITY - 530.00 10-May-19 19-1880 YU, JOSHUA J. 1143 S.TEODORO ST. BRGY 197 TONDO MANILA - 5,580.00 - 5,580.00 10-May-19 19-1881 CALLAGON, ELENA R. 37 D NAVAL ST. BRGY FLORES MALABON CITY - 6,230.00 - 6,230.00 10-May-19 19-1882 MAMADO, CELSA O. BLOCK 29 LOT 18 PADRE PIO SUBDIVISION ST. BRGY - KAKARONG BATA 270.00 PANDI BULACAN - 270.00 10-May-19 19-1883 TALABA, PATERNA C. 2098 SANTIAGO ST. BRGY GEN T. DE LEON FORTUNE - VILLAGE 1 VALENZUELA 11,800.00 CITY - 11,800.00 10-May-19 19-1884 RUBIO, FRANCES GWEN T. 15 LAZARO SUBD. DAMONG MALIIT ST. BRGY NAGKAISANG - NAYON NOVALICHES 5,580.00 QUEZON CITY - 5,580.00

Page 31 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

10-May-19 19-1885 MALINAO, KAYLA MAE P. PUROK 3 ISLA PUTING BATO ST. BRGY 20 TONDO MANILA - 2,350.00 - 2,350.00 10-May-19 19-1886 ANSALE, CYMON KLYDE B. 23-I LOPEZ JAENA ST., MAGINOO ST., ROXAS CAPULONG - ST. BRGY 105 2,120.00 TONDO MANILA - 2,120.00 10-May-19 19-1887 CALANG, ROQUE P. SICAT ST. BRGY DON BOSCO PARANAQUE CITY - 2,650.00 - 2,650.00 10-May-19 19-1888 OMAÑA, JOSE A. 1842 LIM-ANN ST. BRGY 4 PASAY CITY - 7,340.00 - 7,340.00 10-May-19 19-1889 MORENO, MARJUN T. 1022 CORTADA ST. BRGY 666 MANILA - 650.00 - 650.00 10-May-19 19-1890 MAHUSAY, MARILOU R. 155 LOT 9 ST. BRGY PALIPARAN 3 DASMARIÑAS CAVITE - CITY 940.00 - 940.00 10-May-19 19-1891 GUEVARRA, ESTRELLITA N. 1717 ,MACEDA ST. BRGY 497 SAMPALOC MANILA - 530.00 - 530.00 10-May-19 19-1892 DACARA, ELENA L. 1474 MASANGKAY ST. BRGY 261 TONDO MANILA - 11,800.00 - 11,800.00 10-May-19 19-1893 REYES, MA. ELENA S. BRGY BINACOD PAOMBONG BULACAN - 3,960.00 - 3,960.00 10-May-19 19-1894 CANICOSA, ESPERANZA P. 236 PATEROS ST. BRGY 35 MAYPAJO CALOOCAN CITY - 11,800.00 - 11,800.00 10-May-19 19-1895 NIGGE, MARITES L. 52 BARINA CMPD. ST. BRGY 201 PASAY CITY - 11,800.00 - 11,800.00 14-May-19 19-1896 PASCUA, MARY JEAN V. 2240 FERNANDEZ ST. BRGY 153 GAGALANGIN TONDO, - MANILA 870.00 - 870.00 14-May-19 19-1897 DACANAY, RENATO G. 032 ST. BRGY MATAPITAP GERONA TARLAC - 3,860.00 - 3,860.00 14-May-19 19-1898 QUIÑONES, LOURDES M. B15 L13 N.H.V P1 ST. BRGY BITUNGOL NORZAGARAY - BULACAN 660.00 - 660.00 14-May-19 19-1899 MENDOZA, AKIRA D. 777 J. MANUEL A. BONIFACIO ST. BRGY PAG IBIG SA NAYON- QUEZON 2,120.00 CITY - 2,120.00 14-May-19 19-1900 SACOR, SALVADOR F. 4528 V. FRANCISCO ST. BRGY 590 STA. MESA MANILA - 1,060.00 - 1,060.00 14-May-19 19-1901 SEBUSA, LARRY M. DE VERA ST ST. BRGY PAJO MEYCUAYAN BULACAN - 7,920.00 - 7,920.00 14-May-19 19-1902 CASES, MA. ISABEL A. 1633-A FELIX HUERTAS ST. STA. CRUZ MANILA - 530.00 - 530.00 14-May-19 19-1903 VILLAREAL, JAZEL ANGELINE 1228 TEJERON ST. STA. ANA MANILA - 6,230.00 - 6,230.00 14-May-19 19-1904 ANTONIO, SUSAN A. B7 L16 S4 P1 P2000 ST. BRGY MUZON SAN JOSE DEL - MONTE BULACAN 2,680.00 - 2,680.00 14-May-19 19-1905 BLANCAD, ANTONIO 1200 WAGAS ST. BRGY 36 TONDO MANILA - 2,680.00 - 2,680.00 14-May-19 19-1906 VILLAR, MARIA SALVACION T. 1941 J. DAGUPAN EXT. ST. BRGY 159 TONDO MANILA - 1,235.00 - 1,235.00 14-May-19 19-1907 ORTE, CATHERINE T. 734 LIBIS BAESA ST. BRGY 160 CALOOCAN CITY - 650.00 - 650.00 14-May-19 19-1908 CASAQUITE, TERESITA G. BLK 137 LOT 35 PH 1 MABUHAY CITY ST. BRGY PALIPARAN - III DASMARIÑAS 1,235.00 CAVITE - 1,235.00 14-May-19 19-1909 FORMILLEZA, GLORIA S. TOWER 4-814 MEZZA RESIDENCES 1 ST. BRGY DOÑA - IMELDA AGORA 6,230.00 BLVD. COR ARANETA AVE. - QUEZON CITY 6,230.00 14-May-19 19-1910 GABRAL, JANET 3646 INT. 74 BATAAN ST ST. BRGY 615 STA. CRUZ MANILA - 700.00 - 700.00 14-May-19 19-1911 MENDOZA, GAUDENCIA C. 2709 A. SUNOG APOG ST. BRGY 180 TONDO MANILA - 11,800.00 - 11,800.00 14-May-19 19-1912 MAQUINAD, NERISA B. BLK 4 LOT 16 SAPADACA SITIO 6 ST. BRGY CATMON - MALABON CITY 7,340.00 - 7,340.00 14-May-19 19-1913 VILLAMOYA, CRISTINA C. 2637 DEL ROSARIO ST. BRGY 175 GAGALANGIN TONDO - MANILA 130.00 - 130.00 14-May-19 19-1914 ROA, LYDIA 79 IBONG PILAK ST. BRGY STA. MONICA NOVALICHES - QUEZON CITY 270.00 - 270.00 14-May-19 19-1915 MILLARE, CRISELDA M. 48 MALOLOS AVE BAGONG BARRIO ST. BRGY 140 CALOOCAN - CITY 640.00 - 640.00 14-May-19 19-1916 TOLENTINO, FLORINDA R. 303 SAN FRANCISCO ST. BRGY PANTAO PULILAN BULACAN - 5,105.00 - 5,105.00 14-May-19 19-1917 MAGULIANO, VICENTA L. 919 QUEZON BLVD ST. BRGY 310 STA CRUZ MANILA - 530.00 - 530.00 14-May-19 19-1918 VELA, JEFFERSON B. 11 C. PEREZ ST. BRGY TONSUYA MALABON CITY - 530.00 - 530.00 14-May-19 19-1919 CAMACHO, RODOLFO JR T. BLOCK 18 LOT 8 PHASE 1 GML VILLAGE ST. BRGY LINGUNAN - VALENZUELA 2,680.00 CITY - 2,680.00 14-May-19 19-1920 HINDAP, EMILY G. BRGY STO. NIÑO IBAAN BATANGAS - 3,960.00 - 3,960.00 14-May-19 19-1921 MALASAGA, FLORENCIO C. 3421 S. DELOS SANTOS ST. BRGY NONE BO. OBRERO - TONDO MANILA 270.00 - 270.00 15-May-19 19-1922 BACANI, ROWENA F. 2701 LICO ST. BRGY 211 TONDO MANILA - 2,350.00 - 2,350.00 15-May-19 19-1923 SANTOS, LUISA I. 437 RAJA SOLIMAN ST. BRGY DAANG HARI NAVOTAS - CITY 1,235.00 - 1,235.00 15-May-19 19-1924 ALSOSA, CARMELITA T. 1266 SALVACION ST. BRGY 44 TONDO MANILA - 530.00 - 530.00 15-May-19 19-1925 POLONDI, ROGELIO P. 1432 CRAIG ST. SAMPALOC MANILA - 940.00 - 940.00 15-May-19 19-1926 DONOGA, MELVIN M. B8,L2, SAINT MARKVILLE ST. BRGY TALON UNO LAS - PINAS 1,325.00 - 1,325.00 15-May-19 19-1927 ABRANTES, ANGELA B. 60 E. NADILA ST. BRGY TANGOS NAVOTAS CITY - 820.00 - 820.00 15-May-19 19-1928 ABRANTES, ANGELA B. 3478 S. DELOS SANTOS ST. BRGY 190 BARRIO OBRERO, - TONDO MANILA 1,535.00 - 1,535.00 15-May-19 19-1929 ESPINO, ALICIA C. 753 RAXABAGO ST. BRGY 155 TONDO MANILA - 400.00 - 400.00 15-May-19 19-1930 BONEZA, VIRGINIA D. 1009 INT6 STA. CATALINA ST. BRGY 39 CALOOCAN CITY- 990.00 - 990.00 15-May-19 19-1931 SANTIAGO, MYLENE M. BRGY SAN ROQUE BALIWAG BULACAN - 12,560.00 - 12,560.00 15-May-19 19-1932 CONSTANTINO, CARMELITA M. 1574 B. NITAGA ST. BRGY 65 TONDO MANILA - 2,500.00 - 2,500.00 15-May-19 19-1933 IGAT, SHIRLEY 181 JB SANTOS ST. BRGY WAWA NAVOTAS CITY - 7,340.00 - 7,340.00 15-May-19 19-1934 LABENDIA, LYDIA BRGY SAN POLICARPO CALBAYOG WESTERN SAMAR - 415.00 - 415.00 15-May-19 19-1935 HERRERA, MARYLIN 21 G. J RIZAL ST. BRGY MABINI MANDALUYONG CITY - 770.00 - 770.00 15-May-19 19-1936 BERNIDO, NILO B. GUBAT ILAWOD ST. BRGY BACACAY ALBAY BICOL - 19,140.00 - 19,140.00 15-May-19 19-1937 BERNIDO, NILO B. GUBAT ILAWOD ST. BRGY BACACAY ALBAY BICOL - 2,500.00 - 2,500.00 15-May-19 19-1938 RAULE, ZENAIDA 24 CAPOAS ST. BRGY MASAMBONG QUEZON CITY - 1,235.00 - 1,235.00 15-May-19 19-1939 RICAFORT, JULIA S. L20 B16 SAMPAGUITA ST. BRGY 177 MALIGAYA PARK - CALOOCAN CITY 530.00 - 530.00 15-May-19 19-1940 PADILLA, ZENAIDA B. BRGY SAN JUAN ILDEFONSO BULACAN - 11,800.00 - 11,800.00 15-May-19 19-1941 PANIN, LOURDES S. 169 9TH 11 AVENUE ST. BRGY 93 GRACE PARK CALOOCAN - CITY 1,235.00 - 1,235.00 15-May-19 19-1942 TOLENTINO, ADELINA P. 086 ST. BRGY DALIG BALAGTAS BULACAN - 5,105.00 - 5,105.00 16-May-19 19-1943 DECENA, RIZAL D. 2637 LICO ST. BRGY 211 TONDO MANILA - 900.00 - 900.00 16-May-19 19-1944 ADLAWAN, SALVACION L. 13 OLIVA ST. BRGY SAN JUAN BINANGONAN RIZAL - 990.00 - 990.00 16-May-19 19-1945 BAUTISTA, CAROLINA B. 104 USUSAN ST. BRGY 29 CALOOCAN CITY - 1,235.00 - 1,235.00

Page 32 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

16-May-19 19-1946 FELIPE, ILUMINADA A. BLK 9 LOT 46 MODEL COMMUNITY ST. BRGY 72 TONDO - MANILA 1,235.00 - 1,235.00 16-May-19 19-1947 LEGASPI, ELLEN F. 154 RIZAL ST. BRGY POBLACION 4 PEÑARANDA NUEVA - ECIJA 5,105.00 - 5,105.00 16-May-19 19-1948 LLEMOS, LEILANI G. 1024 A. MARIANO ST. BRGY 33 CALOOCAN CITY - 1,235.00 - 1,235.00 16-May-19 19-1949 PECHO, MARILOU V. 1866 YAKAL ST. BRGY 256 TAYUMAN MANILA - 530.00 - 530.00 16-May-19 19-1950 BARRIOS , AARON N. BLK 49 A LOT 26 ALUPIHAN ST. BRGY LONGOS MALABON - CITY 1,235.00 - 1,235.00 16-May-19 19-1951 CABRAL, PRESCILLA M. 539 MORGA ST. BRGY 6 TONDO MANILA - 1,235.00 - 1,235.00 16-May-19 19-1952 LAYGO, GERNOVE ACE B. B2, L4, SPV ST. BRGY MOLINO 4 BACOOR CAVITE - 1,520.00 - 1,520.00 16-May-19 19-1953 MASINDO, ESTRELLA G. BLK 8 SMAGTA FLOODWAY KAIMITO ST. BRGY SAN JUAN- TAYTAY RIZAL 415.00 - 415.00 16-May-19 19-1954 MASINDO, ESTRELLA G. BLK 8 SMAGTA FLOODWAY KAIMITO ST. BRGY SAN JUAN- TAYTAY RIZAL 1,045.00 - 1,045.00 16-May-19 19-1955 DELA CRUZ, ZHELVIN P. 1743 INT. 3 F. VARONA ST. BRGY 85 TONDO MANILA - 11,800.00 - 11,800.00 16-May-19 19-1956 CACHO, IMELDA C. LOT 7 BLK 33 CARISSA HOMES ST. BRGY BAGTAS TANZA - CAVITE 640.00 - 640.00 16-May-19 19-1957 SALAZAR, NATIVIDAD A. 1 C.P GARCIA ST. BRGY 120 TONDO MANILA - 530.00 - 530.00 16-May-19 19-1958 SULIVAN, MIRASOL 25 BALTAZAR ST. BRGY NONE 5TH AVE. CALOOCAN - 860.00 - 860.00 16-May-19 19-1959 QUINZON, ELVIRA D. 2645 M. HIZON ST. BRGY 381 STA. CRUZ MANILA - 530.00 - 530.00 16-May-19 19-1960 LEGASPINA, ASHLEY JANE R. BRGY 320 TONDO MANILA - 1,060.00 - 1,060.00 16-May-19 19-1961 PRADO, LETICIA D. 180 GEN. MASCARDO ST. BRGY 144 BAGONG BARRIO - CALOOCAN CITY 940.00 - 940.00 16-May-19 19-1962 BARROZO, RONALD L. PUROK 2 ST. BRGY RIZAL STA. ELENA CAMARINES NORTE - 5,500.00 - 5,500.00 16-May-19 19-1963 RUSCO, MARY ROSE F. BLK 49 A LOT 18PHASE III EZ ALUPIHAN DAGAT ST. - BRGY LONGOS MALABON 740.00 CITY - 740.00 16-May-19 19-1964 MONTA, ROMEO E. 580 IETA ST. BRGY 119 TONDO MANILA - 1,030.00 - 1,030.00 16-May-19 19-1965 CAYANAN, MARILOU S. GATE 5 PAROLA ST. BRGY 27 TONDO MANILA - 11,800.00 - 11,800.00 16-May-19 19-1966 BAUTISTA, CECILIA D. 2117 ZAMORA ST. BRGY 846 PANDACAN MANILA - 12,560.00 - 12,560.00 16-May-19 19-1967 PANGANIBAN, CORAZON D. 0682 ST. BRGY SAN ISLAN SR. HAGONOY BULACAN - 5,105.00 - 5,105.00 16-May-19 19-1968 UBIÑA, MARY ROSE F. 1268 METRICA ST. BRGY 507 SAMPALOC MANILA - 5,105.00 - 5,105.00 17-May-19 19-1969 ALITA, CONCESA A. 109 JOSEFINA ST. BRGY 114 CALOOCAN CITY - 1,880.00 - 1,880.00 16-May-19 19-1970 BASEO ROBERTO QUEZON CITY - 7,340.00 - 7,340.00 17-May-19 19-1971 RADA, MARLYN M. HAPPY LAND ST. BRGY 105 TONDO MANILA - 3,860.00 - 3,860.00 17-May-19 19-1972 GONCER, LUCINDA J. BLK33 LOT21 PHASE 2 AREA 2 ST. BRGY NBBS DAGAT- - DAGATAN NAVOTAS 640.00 CITY - 640.00 17-May-19 19-1973 DINGLASA, LETICIA P. 9 KAPITBAHAYAN ST. BRGY NBBS NAVOTAS CITY - 1,235.00 - 1,235.00 17-May-19 19-1974 SUBAN, EMILY V. 2156 ELIAS ST. BRGY 351 STA CRUZ MANILA - 1,650.00 - 1,650.00 17-May-19 19-1975 BERNARDINO, FELICIDAD V. 562 NPC ST. BRGY 166 KAYBIGA CALOOCAN CITY - 1,235.00 - 1,235.00 17-May-19 19-1976 REYES, CEZAR P. 18 MABINI ST. BRGY 2 MENDEZ CAVITE - 3,860.00 - 3,860.00 17-May-19 19-1977 GAGALA, RODELYN B. 8 MABOLO ROAD ST. BRGY POTRERO MALABON CITY - 1,365.00 - 1,365.00 17-May-19 19-1978 RIVERA, JOANNA MARIE M. 52 AR CRUZ ST. BRGY TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00 17-May-19 19-1979 NARVAZA, BUENAMINA B. 703 INT 8 C-NAME ST. BRGY 25 CALOOCAN CITY - 650.00 - 650.00 17-May-19 19-1980 GONZALES, KATHLEEN ROSE N. 1442 AREA 1 SAWATA ST. BRGY 35 CALOOCAN CITY - 5,100.00 - 5,100.00 17-May-19 19-1981 GIGANTE, ROLYN P. 04 MARGARITA ST. BRGY 105 HAPPYLAND, TONDO MANILA- 1,235.00 - 1,235.00 17-May-19 19-1982 SAN DIEGO, JOSELYN M. 193 PINAGBAYANAN ST. ST. BRGY LINGUNAN VALENZUELA - 530.00 - 530.00 17-May-19 19-1983 ROXAS, EDMUNDO B. 231 MARCEDA ST. BRGY 27 CALOOCAN CITY - 1,235.00 - 1,235.00 17-May-19 19-1984 SALAZAR, ROMEO S. 19 MARTA S ST. BRGY MARULAS VALENZUELA CITY - 1,045.00 - 1,045.00 17-May-19 19-1985 ESPORTUNO, MYRNA O. 100 BATIMANA COMPOUND ST. BRGY MARULAS VALENZUELA - CITY 765.00 - 765.00 17-May-19 19-1986 CANLAS, RODOLFO B. 582 M. PRELLES ST. ST. BRGY 182 GAGALANGIN, TONDO - MANILA 19,140.00 - 19,140.00 17-May-19 19-1987 LAYSON, FELISA I. B 36 LOT 12 F1 PHASE 3 DAGAT DAGATAN ST. BRGY - 12 CALOOCAN CITY 700.00 - 700.00 17-May-19 19-1988 DE CASTRO, ALFREDO JR. 25 QUIRINO ST. BO. MAGSAYSAY TONDO, MANILA - 600.00 - 600.00 17-May-19 19-1989 PARIAN, NATHALIE P. 74 LIBIS ESPINA ST. BRGY 14 CALOOCAN CITY - 1,520.00 - 1,520.00 17-May-19 19-1990 PATRICIO, ESMIRALDA S. 388 GOV. PASCUAL ST. BRGY SAN JOSE NAVOTAS CITY - 5,105.00 - 5,105.00 17-May-19 19-1991 BLANQUISCO, ERMANITA H. 035 SAN MARTIN ST. BRGY GULOD QUEZON CITY - 11,800.00 - 11,800.00 20-May-19 19-1992 MAUR, GEMMA D. 175 KATUPARAN EXT. ST. BRGY COMMONWEALTH - QUEZON CITY 940.00 - 940.00 20-May-19 19-1993 NIEVES, JOCELYN L. AGODO ST. BRGY SAN JOSE MAYON QUEZON CITY - 3,860.00 - 3,860.00 20-May-19 19-1994 MONTEFRIO, MARY GRACE L. 28 GERONIMO ST. BRGY STA. MONICA NOVALICHES - QUEZON CITY 940.00 - 940.00 20-May-19 19-1995 BUENVIAJE, ZENAIDA D. 1838 SULU ST. BRGY 341 STA. CRUZ MANILA - 635.00 - 635.00 20-May-19 19-1996 DANONG, SULAMIGHT A. BRGY TAÑONG MALABON CITY - 650.00 - 650.00 20-May-19 19-1997 SANCHEZ, SHIELA ANN T. 143 WALING WALING ST. BRGY NONE PUNTA STA. ANA - 3,860.00 - 3,860.00 20-May-19 19-1998 CAPULI, TERESA D. 397 B CRUZ ST. BRGY TANGOS NAVOTAS CITY - 640.00 - 640.00 20-May-19 19-1999 TAMPOS, CORNELIA B. 1344 ALINIAN MORIONES ST. BRGY 123 TONDO MANILA - 360.00 - 360.00 20-May-19 19-2000 CEZAR, FERDINAND T. BANAG NORTE, BRGY. BANI PANGASINAN - 390.00 - 390.00 20-May-19 19-2001 TANAMAL, FRANCIS F. 900 DELPAN ST. BRGY 12 TONDO MANILA - 530.00 - 530.00 20-May-19 19-2002 ALCARAZ, JOHN CYRUS A. J.P. REYES ST., KM. 37 ST. BRGY PULON BUHANGIN STA. - MARIA BULACAN 530.00 - 530.00 20-May-19 19-2003 TANONG, ROSARIO I. 1242 STO. NIÑO ST. BRGY 43 TONDO MANILA - 940.00 - 940.00 20-May-19 19-2004 ABANCO, GLENN R. 24 KATIPUNAN ST. BRGY BAYAN-BAYANAN MALABON - CITY 940.00 - 940.00 20-May-19 19-2005 VALENCIA, GERRY T. 2ND AVE ST. BRGY 120 GRACE PARK CALOOCAN CITY - 270.00 - 270.00 20-May-19 19-2006 OLITOQUIT, LANIE D. 169 SAUYO ST. BRGY MARANGI NOVALICHES QUEZON - CITY 600.00 - 600.00

Page 33 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

20-May-19 19-2007 PADILLA, JOHN EIZEL R. 144 B 9TH AVE. CALOOCAN CITY - 3,960.00 - 3,960.00 21-May-19 19-2008 SISON, WILFREDO C. 1631 SAWATA ST. BRGY 35 DULO MAYPAJO CALOOCAN - CITY 1,750.00 - 1,750.00 21-May-19 19-2009 SATSATIN , MA. LUZ YDA BEATRICEBRGY L. STO. TOMAS BIÑAN LAGUNA - 1,520.00 - 1,520.00 21-May-19 19-2010 DRAGIN, ROLANDO N. 394 CORAL ST. BRGY 66 TONDO MANILA - 1,060.00 - 1,060.00 21-May-19 19-2011 LICUANDO, JEFFREY S. 2207 ST. BRGY 96 VELASQUEZ, TONDO MANILA - 1,060.00 - 1,060.00 21-May-19 19-2012 DULAY, DAVID BLK 38 LOT 1, KAMADA TORCILLO ST. BRGY 28 DAGAT-DAGATAN - CALOOCAN 1,315.00 CITY - 1,315.00 21-May-19 19-2013 ROQUE, OLIVER P. 1478 FUGOSO ST. BRGY 330 STA. CRUZ MANILA - 360.00 - 360.00 21-May-19 19-2014 OBRA, KEANNE ERICH L. 739 DOS CASTILLAS ST. BRGY 456 SAMPALOC MANILA - 1,520.00 - 1,520.00 21-May-19 19-2015 MANALO, REMIGIO L. 31 B. LOPEZ ST. BRGY KARUHATAN VALENZUELA CITY - 1,300.00 - 1,300.00 21-May-19 19-2016 TULIO, EMIBE Z. BLK 28 LOT 20 PHASE 8 F 1 KAUNLARAN VILLAGE ST. - BRGY 14 CALOOCAN 530.00 CITY - 530.00 21-May-19 19-2017 SUPERALES, MA. NELIA A. 40 PANDAY PIRA ST. BRGY 144 BAGONG BARRIO CALOOCAN - CITY 650.00 - 650.00 21-May-19 19-2018 PAZ, AURELIA N. POBLACION ST. BRGY MINUYAN NORZAGARAY BULACAN - 740.00 - 740.00 21-May-19 19-2019 SARMIENTO, ARA GEL E. 1093 SOLIS ST. BRGY NONE TONDO MANILA - 650.00 - 650.00 21-May-19 19-2020 Dela Cruz, Marina L. 190-56 ALPHA ST. BRGY NONE BANGKULASI NAVOTAS - CITY 1,235.00 - 1,235.00 21-May-19 19-2021 Frias, Jojo BRGY. 560 SAMPALOC MANILA - 740.00 - 740.00 21-May-19 19-2022 AMOYO, VIRGINIA P. B1 L6 DE GULA COMP. ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 635.00 - 635.00 21-May-19 19-2023 CASIN, SOFIA C. 129 UNIVERSITY AVE EXT ST. BRGY POTRERO MALABON - CITY 940.00 - 940.00 21-May-19 19-2024 GONZAGA, GLENN R. 1180 GEN. TINIO ST. BRGY 132 BAGONG BARRIO CALOOCAN - CITY 995.00 - 995.00 21-May-19 19-2025 ALVIZA, KATE WINCEL A. 1529 TINDALO ST. BRGY 254 TONDO MANILA - 11,800.00 - 11,800.00 22-May-19 19-2026 YAUN, JAZZMINE P. BLK. 1 LOT 9 SEC. 35 BELLEVIEW ST. BRGY BAGTAS - TANZA CAVITE 1,520.00 - 1,520.00 22-May-19 19-2027 YAUN, ELJENE GWYNETH P. BLK. 1 LOT 9 SEC. 35 BELLEVIEW ST. BRGY BAGTAS - TANZA CAVITE 2,340.00 - 2,340.00 22-May-19 19-2028 SANTIAGO, SARAH M. 74 MABOLO ST BRGY. BOLO VALENZUELA CITY - 650.00 - 650.00 22-May-19 19-2029 CARILLO, BERNADETTE S. 78 D. BENITA ST. BRGY 185 GAGALANGIN, TONDO MANILA - 500.00 - 500.00 22-May-19 19-2030 CUENCA, CESARA EVE N. BRGY FRENZA III MARILAO BULACAN - 1,060.00 - 1,060.00 22-May-19 19-2031 MAYORMENTE, RUBY ROSA C. 2904 TAMBUNTING ST., RIZAL AVENUE ST. BRGY 373 - STA. CRUZ MANILA 350.00 - 350.00 22-May-19 19-2032 CHUA, RIYU KHEENO C. 79 KALAYAAN ST. BRGY 151 BAGONG BARRIO CALOOCAN - CITY 530.00 - 530.00 22-May-19 19-2033 CACALDA, FELICIANA P. 1145 INT D- VARGAS ST. BRGY 216 TONDO MANILA - 1,200.00 - 1,200.00 22-May-19 19-2034 VARGAS, EMERLITA V. 183 ST. BRGY ISLA VALENZUELA CITY - 5,100.00 - 5,100.00 22-May-19 19-2035 GOMEZ, ESTRELLITA P. 1600 INT. 15 J. FAJARDO ST. BRGY 429, ZONE 44 SAMPALOC - MANILA 2,620.00 - 2,620.00 23-May-19 19-2036 MENDOZA, AKIRA D. 777 J. MANUEL A. BONIFACIO ST. BRGY PAG IBIG SA NAYON- QUEZON CITY 640.00 - 640.00 23-May-19 19-2037 LOPEZ, AIMEE F. 2649 FELIX HUERTAS ST. BRGY 381 STA CRUZ MANILA - 1,195.00 - 1,195.00 23-May-19 19-2038 DUNGO, ARMANDO C. 660 T. ALFONSO ST. BRGY 535 SAMPALOC MANILA - 2,640.00 - 2,640.00 23-May-19 19-2039 ENSEÑADO, RICHILDA S. 1359 ALFREDO ST. BRGY 342 STA. CRUZ MANILA - 710.00 - 710.00 23-May-19 19-2040 GALARAN, OLIVER JR P. MALIGAYA ST. BRGY SAN AQUILINO ROXAS ORRIENTAL - MINDORO 500.00 - 500.00 23-May-19 19-2041 LACAR, GLORIA M. BLK 8 SEC 18 PHASE 2 PABAHAY 2000 ST. BRGY MUZON - SAN JOSE DEL 620.00 MONTE BULACAN - 620.00 23-May-19 19-2042 MENDEZ, EUNICE A. BRGY VILLA PAG-ASA BANSUD ORRIENTAL MINDORO - 1,060.00 - 1,060.00 23-May-19 19-2043 CRISOSTOMO, ROMEO S. LOT 20 BLOCK 15-G PHASE 3 E-1 PADAS ALLEY ST. BRGY - 12 DAGAT-DAGATAN 2,000.00 CALOOCAN CITY - 2,000.00 23-May-19 19-2044 ORIA, SUSAN T. 73 PITA ST. BRGY 152 BAGONG BARRIO CALOOCAN - CITY 210.00 - 210.00 23-May-19 19-2045 VERANO, MARIA ROSEL L. 203 B.M.B.A. 2ND ST., 3RD AVENUE ST. BRGY 118 GRACE - PARK CALOOCAN 350.00 CITY - 350.00 23-May-19 19-2046 NIVAL, NORMITA O. 2051 M. NATIVIDAD ST. BRGY 346 STA. CRUZ MANILA - 1,300.00 - 1,300.00 24-May-19 19-2047 DIANGSON, LOURDES C. 148 MANGUSAN ST. BRGY POTRERO MALABON CITY - 2,500.00 - 2,500.00 24-May-19 19-2048 PEREZ, DENVER J. 2650 LICO ST. BRGY 210 TONDO MANILA - 1,045.00 - 1,045.00 24-May-19 19-2049 VALDERRAMA, MARLYN BLK 8 LOT 17 HERUVIA ST. FRANCIS VILLAGE, SAN BARTOLOME- QUEZON 5,105.00 CITY - 5,105.00 24-May-19 19-2050 BALTAZAR, ALTHEA THERESE C. BLOCK 3 LOT 21 SAMPAGUITA ST., SOUTH GREEN PARK - VILLAGE ST. 1,450.00BRGY MARCELO GREEN PARAÑAQUE - CITY 1,450.00 24-May-19 19-2051 NILES, SATURNINA C. 203 F. MANALO EXT ST. BRGY 11 SAN JUAN - 1,235.00 - 1,235.00 27-May-19 19-2052 MORALES, ADELA J. 1917 P. ALMEDA ST. BRGY 226 TONDO MANILA - 1,300.00 - 1,300.00 27-May-19 19-2053 SADONGDONG, PATROCINIA I. BLDNG. 23 UNIT 403 KATUPARAN VITAS ST. BRGY 101 - TONDO MANILA 1,060.00 - 1,060.00 27-May-19 19-2054 MATEO, REGOBERTO S. 371 S. ROLDAN ST. BRGY TANGOS NAVOTAS CITY - 1,235.00 - 1,235.00 27-May-19 19-2055 MANAPSAL, STACY CLAIRE A. 1722 VELASQUEZ ST. BRGY 82 TONDO MANILA - 530.00 - 530.00 27-May-19 19-2056 ASUNCION, WILSON C. 304 LIMA ST. BRGY 194 TONDO MANILA - 2,700.00 - 2,700.00 27-May-19 19-2057 ABRIOL, SYESHA MAE F. 0462 B. MATIISIN ST. BRGY 109 TONDO MANILA - 530.00 - 530.00 27-May-19 19-2058 FABIAN, LILIA D. 029 ST. BRGY REAL CACARONG PANDI BULACAN - 1,235.00 - 1,235.00 27-May-19 19-2059 RAMONES, MARITA CAINGIN, SAN RAFAEL, BULACAN - 5,105.00 - 5,105.00 27-May-19 19-2060 CHING, CORAZON L. 1126 MARIVELES ST. BRGY SALVACION LALOMA QUEZON - CITY 2,000.00 - 2,000.00 27-May-19 19-2061 JARITO, MANSUETA P. 34 C MAGSAYSAY ST. BRGY 107 TONDO MANILA - 1,235.00 - 1,235.00 27-May-19 19-2062 SANTOS, PRECY O. 63 BULACAN ST. BRGY 173 TONDO MANILA - 415.00 - 415.00 27-May-19 19-2063 CALABROSO, MARILYN M. 39-16 INT SANCHIANGCO ST. BRGY CATMON MALABON - CITY 1,235.00 - 1,235.00 27-May-19 19-2064 MANA, ALEXES REYLIE S. BLK 35 LOT 8 PH1-A KAUNLARAN ST. BRGY NBBS NAVOTAS - CITY 1,235.00 - 1,235.00 27-May-19 19-2065 LOPEZ, NIKKI CARLYE B. BRGY SANTIAGO STO TOMAS BATANGAS - 3,600.00 - 3,600.00 27-May-19 19-2066 CANCERAN, LUZVIMINDA E. 109 - INT. 23 J. ZAMORA ST. ST. BRGY 846 PANDACAN - MANILA 4,815.00 - 4,815.00 27-May-19 19-2067 PAHAYAHAY, MARY ANN 147 GOO ST. BRGY SIPAC ALMASIN NAVOTAS CITY - 5,105.00 - 5,105.00

Page 34 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

28-May-19 19-2068 SUARNABA, NORMA L. 47 LOWER BERNARDO CMPD. ST. BRGY PASONG TAMO - QUEZON CITY 3,300.00 - 3,300.00 28-May-19 19-2069 VISPERAS, JOSEPHINE C. B4 L41 CHESA ST. BRGY MOLINA BACOOR CAVITE - 1,300.00 - 1,300.00 28-May-19 19-2070 BOBARES, PACITA I. 207 FELIZA BUKID ST. BRGY PARADA VALENZUELA - CITY 820.00 - 820.00 28-May-19 19-2071 CASINGAL, ROMELYN E. BLK. 43 LOT 30 AREA 1 ST. BRGY LAWANG PARI SAN - JOSE DEL MONTE 485.00 BULACAN - 485.00 28-May-19 19-2072 TOLEDO, BRENDA G. 137 TOWNSITE PROPER ST. MARIVELES BATAAN - 5,105.00 - 5,105.00 28-May-19 19-2073 WAGIS, JOSEFINA BLK 32 F1 PHASE 3 HASANG ST. DAGAT-DAGATAN CALOOCAN - CITY 2,500.00 - 2,500.00 28-May-19 19-2074 CAYANAN, MARILOU S. GATE 5 PAROLA ST. BRGY 27 TONDO MANILA - 5,105.00 - 5,105.00 29-May-19 19-2075 TENERIFE, NANCY D. BRGY BUENAVISTA BATO CATANDUANES - 5,105.00 - 5,105.00 29-May-19 19-2076 RICAFRENTE, AMELIA 350 MATA ST. BRGY PANDAY PIRA TONDO MANILA - 530.00 - 530.00 29-May-19 19-2077 SILVERIO, CAROLINA E. 1001 ALGECERAS ST. BRGY 472 SAMPALOC MANILA - 5,105.00 - 5,105.00 29-May-19 19-2078 GACAYAN, MARIFE S. 139 BLK 4 PHASE 1 GOZON COMPOUND ST. BRGY NONE - TONSUYA MALABON 1,235.00 CITY - 1,235.00 29-May-19 19-2079 GODOY, ARTURO B. 0503 ASTORGA ST. BRGY 38 GRACE PARK CALOOCAN 165.00 CITY - - 165.00 30-May-19 19-2080 JOAQUIN, JOSELITO F. 1278 DINALUPIHAN ST. BRGY 206 TONDO MANILA - 4,645.00 - 4,645.00 30-May-19 19-2081 LEONZON, CRISTEL M. 1323 S. NICOLAS ST. BRGY 225 TONDO MANILA - 300.00 - 300.00 30-May-19 19-2082 BORBOLLA, JANINE C. 31 SITIO ST. BRGY GUYONG STA. MARIA BULACAN - 1,235.00 - 1,235.00 30-May-19 19-2083 TANGPOS, CIMBERLYN T. 158 ABONEROS ST. BRGY 283 BINONDO MANILA - 1,000.00 - 1,000.00 30-May-19 19-2084 PEREZ, RUBY B. PUROK 2 ST. BRGY SAN CRISPIN SAN PABLO LAGUNA - 5,105.00 - 5,105.00 30-May-19 19-2085 TAMBOONG, MARIA CRISTINA PRIMA174 ILANG-ILANGP. ST. BRGY BULIHAN ALIDO HEIGHTS,MALOLOS - BULACAN 1,235.00 - 1,235.00 30-May-19 19-2086 CALAYAG, ROLANDO C. 1808 RIZAL AVE ST. BRGY 336 STA. CRUZ M\ - 820.00 - 820.00 30-May-19 19-2087 VILLAHERMOSA, ANNABELLE L. 1283 INT. 14 TAMBUNTING ST. STA. CRUZ MANILA - 5,105.00 - 5,105.00 30-May-19 19-2088 GABISAN, NIMFA F. 1838 G. TUAZON ST. BRGY 422 SAMPALOC MANILA - 350.00 - 350.00 30-May-19 19-2089 GALVEZ, JEMENA S. 1817 F. VARONA ST. TONDO MANILA - 5,105.00 - 5,105.00 30-May-19 19-2090 JALLORINA, NATALIA V. 2417 EVERLASTING ST. SAN PEDRO LAGUNA - 2,500.00 - 2,500.00 31-May-19 19-2091 NALUS, ROGELIO C. 14 BONIFACIO COMP. ST. BRGY PASO DE BLAZ VALENZUELA - CITY 5,100.00 - 5,100.00 31-May-19 19-2092 CENIZA, NORMA R. 75 DR. ALEJOS ST. BRGY SAN ISIDRO LABRADOR LALOMA - QUEZON CITY 5,000.00 - 5,000.00 23-May-19 19-2093 ENRIQUEZ, LALAINE B. 447 BLK.4 KADIMA ST. BRGY TONSUYA MALABON CITY - 5,105.00 - 5,105.00 29-May-19 19-2094 CABRERA, YUANNE ZOE R. BRGY 92 TONDO MANILA - - 4,590.04 4,590.04 28-May-19 19-2095 GONZALES, ERLANI C. 536 GERONA ST. BRGY 87 TONDO MANILA - - 480.58 480.58 28-May-19 19-2096 TEJERO, JOHNELLE M. JUAN LUNA ST. BRGY 158 TONDO MANILA - - 3,151.23 3,151.23 27-May-19 19-2097 PAKINGAN, ORLANDO G. BRGY MAMBOG IV BACOOR CAVITE - - 5,366.97 5,366.97 17-May-19 19-2098 VITO, TEODORA B. BRGY MASIKAP LILIW LAGUNA - - 10,024.98 10,024.98 26-May-19 19-2099 CHUA, LEONORA M. BRGY 171 CALOOCAN CITY - - 1,933.62 1,933.62 26-May-19 19-2100 FLORES, JHYRUZ EVHO A. 140 M. DOMINGO ST. BRGY TANGOS NAVOTAS CITY - - 24,971.04 24,971.04 31-May-19 19-2101 LUZANO, TEODOSIA Q. 224 CAPAS ST. BRGY 63 10TH AVENUE CALOOCAN CITY - - 1,832.46 1,832.46 31-May-19 19-2102 RUADO, MUTYA L. BARANGAY COMMONWEALTH, QUEZON CITY - - 2,846.69 2,846.69 31-May-19 19-2103 BARAYANG , JOHN AERON Q. 169 ST. BRGY SALA CABUYAO LAGUNA - - 3,010.35 3,010.35 29-May-19 19-2104 PEDROSO, SANDY P. BRGY 228 TONDO MANILA - - 6,307.41 6,307.41 26-May-19 19-2105 DOMDOM, STEFANIE KEI N. BRGY POTRERO MALABON CITY - - 27,452.25 27,452.25 26-May-19 19-2106 BORILA, DHAR ERVIN I. 1021-M INTERIOR 2, DAGUPAN ST. BRGY 48 TONDO - MANILA - 1,189.74 1,189.74 25-May-19 19-2107 BALIBALOS, JOHN CENDRICK -. BRGY 28 CALOOCAN CITY - - 2,474.14 2,474.14 25-May-19 19-2108 MALASAN, ALFREDO A. BRGY TANZA NAVOTAS - - 80,590.52 80,590.52 25-May-19 19-2109 ESPEJO, GLORIA S. BRGY 198 TONDO MANILA - - 1,837.65 1,837.65 25-May-19 19-2110 VINOYA, EDISON R. BRGY 53 TONDO MANILA - - 11,969.60 11,969.60 25-May-19 19-2111 MARTINEZ, DHANNIELLA M. BRGY 35 CALOOCAN CITY - - 580.73 580.73 25-May-19 19-2112 TULAGAN, PRINCE IAN A. TIMBAGAN ST. BRGY PRENZA I MARILAO BULACAN - - 2,659.44 2,659.44 24-May-19 19-2113 PEQUE, EDWIN REY S. SITIO KAWAYAN TITOS ST. BRGY SAN AGUSTIN NOVALICHES - QUEZON CITY - 5,960.21 5,960.21 24-May-19 19-2114 TORRECAMPO, ELIZABETH M. ST. BRGY 105 TONDO MANILA - - 12,014.19 12,014.19 23-May-19 19-2115 DE VERA, CRISTINA P. 527 BETTER LIVING ST. BRGY BUNDUCAN BOCAUE BULACAN- - 13,252.91 13,252.91 23-May-19 19-2116 MERCADO, CHRISTIAN L. 785 PULLON ST. BRGY 52 TONDO MANILA - - 15,229.19 15,229.19 23-May-19 19-2117 AKBAR, LATIFA A. 6 BLOCK 20 EXTENSION BAGONG LUPA BASECO ST. -BRGY 649 PORT AREA - MANILA 9,335.88 9,335.88 23-May-19 19-2118 GIMENA, LETICIA B. 860 KUNDIMAN ST. BRGY 522 SAMPALOC MANILA - - 13,854.76 13,854.76 23-May-19 19-2119 REYES, DOMINGA G. 007 QUIRINO ST. BRGY 116, ZONE 9 TONDO MANILA - - 29,198.22 29,198.22 23-May-19 19-2120 BAUA, VILMAFE P. 255 DE AMPIL ST. BRGY 631 STA. MESA MANILA - - 30,956.51 30,956.51 28-May-19 19-2121 GUILLEN GEDIAN STA ANA MANILA - 650.00 - 650.00 14-Mar-19 19-2122 MARQUEZ, FLORENCIA G. 2903 BALANGA ST. BRGY 206 TONDO MANILA - 360.00 - 360.00 18-Mar-19 19-2123 Valdez, Jeana Dane S. DAGUPAN ST. BRGY 50 TONDO MANILA - 530.00 - 530.00 26-Mar-19 19-2124 MELGAR, MA.GLENN T. BLK2 LOT1 PH2B FILINVEST HOME SITE ST. BRGY 69.00 LANGGAM SAN PEDRO -LAGUNA - 69.00 8-Mar-19 19-2125 NIDEA, EUGENIA N. 125 STA. CRUZ ST. BRGY 173 CALOOCAN CITY - - 122,024.51 122,024.51 12-Mar-19 19-2126 IGARTA, HARDYS B. 52 DON PEPE ST. BRGY STO. DOMINGO QUEZON CITY - - 7,747.05 7,747.05 21-Mar-19 19-2127 MURILLO, DEVINE GRACE C. 1589 BARRIO KAPAMPANGAN ST. BRGY 869 PANDACAN - MANILA - 12,095.28 12,095.28 25-Apr-19 19-2128 DELANO, AILEEN S. 1033 DAMAYAN ST. BRGY 10 MAYPAJO CALOOCAN CITY - - 754.22 754.22

Page 35 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

30-Apr-19 19-2129 MENDROS, MARITES J. 27-L TULLAYAN ROAD ST. BRGY 162 CALOOCAN CITY - - 8,437.96 8,437.96 2-May-19 19-2130 CUSTODIO, CHRISTIAN ERICK J. 296 ST. JOSEPH ST. BRGY BALITE MALOLOS BULACAN - 12,560.00 - 12,560.00 2-May-19 19-2131 GATCHALIAN, ANGEL JR L. BLDG 9 ST. BRGY 101 TONDO MANILA - 2,500.00 - 2,500.00 2-May-19 19-2132 GUTIERREZ , MARCELINA D. 329 ST. BRGY PASO DE BLAS VALENZUELA CITY - 1,235.00 - 1,235.00 2-May-19 19-2133 TAMPOS, CORNELIA B. 1344 ALINIAN MORIONES ST. BRGY 123 TONDO MANILA - 650.00 - 650.00 2-May-19 19-2134 CALABUCAL, IGMEDIO M. 2158 OROQUIETA ST. BRGY 345 STA. CRUZ MANILA - 900.00 - 900.00 2-May-19 19-2135 VILLARIN, ELFO O. 790 PUSO ST. ST. BRGY KOLOONG I VALENZUELA CITY - 530.00 - 530.00 2-May-19 19-2136 PRESCOTT, CARMELITA L. BLK3 LOT12 LEXBER ST. BRGY PIO CRUZCOSA CALUMPIT - BULACAN 650.00 - 650.00 2-May-19 19-2137 MERCADO, LEONIDA R. 151 PAULINO ST. BRGY 135 BALUT, TONDO MANILA - 1,235.00 - 1,235.00 2-May-19 19-2138 MANALILI, MELODY S. 95 DINALAGA ST. BRGY 156 BAGONG BARRIO CALOOCAN - CITY 1,235.00 - 1,235.00 2-May-19 19-2139 LABAY, JULIETA V. 44 MASAYA ST. BRGY OLD CAPITOL SITE QUEZON CITY - 1,520.00 - 1,520.00 2-May-19 19-2140 RAMOS, JOSELITO SR. C. BLK 30 LOT 75 KALILONG ST. BRGY 31 DAGAT-DAGATAN - CALOOCAN CITY 360.00 - 360.00 2-May-19 19-2141 LAZARO, BIENVENIDO P. 1424 MATA ST. BRGY 117 TONDO MANILA - 900.00 - 900.00 2-May-19 19-2142 DELA CHICA, EDGARDO P. 442 PRUDENCIO ST. BRGY 444 SAMPALOC MANILA - 1,060.00 - 1,060.00 2-May-19 19-2143 Pascua, Shellymar S. 245 LAKAS DIWA ST., ST. BRGY FATIMA 1 SJDM BULACAN - 1,235.00 - 1,235.00 2-May-19 19-2144 OLORES, FRANCIS V. BRGY 108 TONDO MANILA - 530.00 - 530.00 2-May-19 19-2145 DANGCULOS, ROSALYN R. 40 KATIPUNAN ST. BRGY BAYAN BAYANAN MALABON - CITY 650.00 - 650.00 3-May-19 19-2146 DE LEON, YOLANDA B. 929 HENARO ST. BRGY 95 TONDO MANILA - 530.00 - 530.00 3-May-19 19-2147 VALEÑA, JOSEPHINE Z. BLOCK 9-C LOT 31 HIWAS ST. BRGY LONGOS MALABON - CITY 650.00 - 650.00 3-May-19 19-2148 CARABEO, KRIS ROY B. 3464 AB TAN BARRIO OBRERO ST. BRGY 190 TONDO - MANILA 12,560.00 - 12,560.00 3-May-19 19-2149 BACHECHA, EMELINDA S. 354 JOSE ST. BRGY BAESA CALOOCAN CITY - 1,235.00 - 1,235.00 3-May-19 19-2150 ARCILLA, JOSE NEIL S. 116 LOT 12 BLK. 15 ST. CECILE ST. BRGY 178 MARICABAN - PASAY CITY 940.00 - 940.00 3-May-19 19-2151 SANTOS, LEA L. 25 ARTHUR ST. BRGY MARULAS VALENZUELA CITY - 1,235.00 - 1,235.00 3-May-19 19-2152 AUQUICO, PRISCILA C. 146 JULIAN ST. BRGY MARIKINA - 5,105.00 - 5,105.00 3-May-19 19-2153 RUSIA, SOLEDAD E. 28 AREA 1 REPUBLIC ST. BRGY HOLY SPIRIT QUEZON - CITY 820.00 - 820.00 3-May-19 19-2154 CAÑETE, NITA A. PHASE 1 BLK 38 LOT 12 BRGY POBLACION MUNTINLUPA - CITY 415.00 - 415.00 3-May-19 19-2155 CASTILLO, MAY G. 828 OROQUIETA ST. ST. BRGY 310 STA. CRUZ MANILA - 1,235.00 - 1,235.00 3-May-19 19-2156 LESIGUES, ROGELIO A. AREA B GATE 13 ST. BRGY 29 TONDO MANILA - 1,235.00 - 1,235.00 3-May-19 19-2157 GAPAN, MARIA CRISTINA B. B63 L22 AREA C. PUROK 12 ST. BRGY SAN MARTIN 4 - SAPANG PALAY, 1,045.00SAN JOSE DEL MONTE BULACAN - 1,045.00 6-May-19 19-2158 PATEÑO, NELIA V. BLDG. 20 UNIT 311 VITAS KATUPARAN ST. BRGY 101 - TONDO MANILA 845.00 - 845.00 6-May-19 19-2159 TUMBAGA, JOHN C. A3 LUNDUYAN ST. BRGY BATASAN HILLS QUEZON CITY- 675.00 - 675.00 6-May-19 19-2160 CERDIÑO, ELPIDIO JR A. 71A BONIFACIO ST. BRGY TUGATOG MALABON CITY - 900.00 - 900.00 6-May-19 19-2161 MEER, FERMINA L. 543 PNR COMPD. ST. BRGY 73 SAMSON RD. CALOOCAN - CITY 1,235.00 - 1,235.00 6-May-19 19-2162 RAPSING, TERESITA P. PHASE 1 PCKG 1 B5 L50 BAGONG SILANG ST. BRGY 176 - CALOOCAN CITY 995.00 - 995.00 6-May-19 19-2163 MAGBANUA, ALICIA P. 1312 KALIMBA ST. BRGY 319 STA CRUZ MANILA - 1,235.00 - 1,235.00 6-May-19 19-2164 MAGBANUA, ALICIA P. 1312 KALIMBA ST. BRGY 319 STA CRUZ MANILA - 650.00 - 650.00 6-May-19 19-2165 BATORIANO, AILLYN A. 203 USUSAN EXT. KBS COMP. ST. BRGY 28 CALOOCAN - CITY 340.00 - 340.00 6-May-19 19-2166 ABAIGAR, GEORGIE B. 64 ADALLA ST. BRGY LONGOS MALABON - 210.00 - 210.00 6-May-19 19-2167 YANQUILING, ANA RICHELLE A. 38 INAMAN ST. BRGY MASAMBONG QUEZON CITY - 1,235.00 - 1,235.00 6-May-19 19-2168 Surara, Lilybeth E. PHASE 9 PACKAGE 3-C BLK 51 LOT 4 DAMAYAN ST. BAGONG- SILANG CALOOCAN 820.00 CITY - 820.00 6-May-19 19-2169 ODTOHAN, NILLA A. BLK1 17 LOT12 AREA-E ST. BRGY STA CRUZ 1 DASMA - CAVITE 1,235.00 - 1,235.00 6-May-19 19-2170 VIDAL, NENITA B. 158 BURGOS ST. BRGY CONCEPCION MALABON CITY - 1,235.00 - 1,235.00 6-May-19 19-2171 ZAMBOANGA, GEMMA R. VILLAROSA ST. BRGY 75 CALOOCAN CITY - 1,235.00 - 1,235.00 7-May-19 19-2172 CARILLO, BERNADETTE S. 78 D. BENITA ST. BRGY 185 GAGALANGIN, TONDO MANILA - 1,235.00 - 1,235.00 7-May-19 19-2173 VILLANUEVA, JOSEPH M. 8 TENDIDO ST. BRGY SAN JOSE QUEZON CITY - 1,835.00 - 1,835.00 7-May-19 19-2174 MEDINA, ROSIEL C. BLK 82 LOT 4 PUROK 1 KAWAL ST. BRGY 28 DAGAT-DAGATAN - CALOOCAN 725.00 CITY - 725.00 7-May-19 19-2175 APELLIDO, RUFINA E. 1912 KUSANG LOOB ST ST. BRGY 353 STA. CRUZ MANILA - 1,235.00 - 1,235.00 7-May-19 19-2176 MANUEL, CONRADO V. 2182 KARAPATAN ST ST. BRGY 351 STA CRUZ MANILA - 1,060.00 - 1,060.00 7-May-19 19-2177 RODENAS, CORAZON M. 131 ST. BRGY PATUTONG MALAKI TAGAYTAY CITY - 1,235.00 - 1,235.00 7-May-19 19-2178 TABLO, EDGARDO J. PAGODA DORM, GIL PUYAT ST. QUIAPO MANILA - 1,235.00 - 1,235.00 7-May-19 19-2179 AUMENTAR, DIANNE JOY R. PH 2 BLK 10 LOT 19 VILLA ARSENIA VILLAGE PANGASINAN - ST. BRGY MAMBOG 340.00 3 BACOOR CAVITE - 340.00 7-May-19 19-2180 SARONG, ANNA GRACE T. A. FRANCISCO ST. BRGY PARADA VALENZUELA CITY - 1,235.00 - 1,235.00 7-May-19 19-2181 SERATO, MANUEL C. 3145 INT. 61 PILAR ST. BRGY 198, ZONE 18 TONDO MANILA - 3,100.00 - 3,100.00 7-May-19 19-2182 GOROSPE, ROLANDO R. 1144 SANTOS TEODORO ST. BRGY 197 TONDO MANILA - 1,060.00 - 1,060.00 7-May-19 19-2183 MERCADO, VILMA V. BLK. 1 DAMATA LETRE RD. TONSUYA MALABON CITY - 1,060.00 - 1,060.00 7-May-19 19-2184 JOROLAN, LILIBETH E. 312 JACINTO ST. BRGY CANUMAY WEST VALENZUELA - CITY 1,235.00 - 1,235.00 7-May-19 19-2185 BALUYOT, AILEEN A. 711 DELPAN ST. BRGY 286, ZONE 26 BINONDO MANILA - 855.00 - 855.00 7-May-19 19-2186 LANSANG, ROGER B. BLK7 LOT PHASE 3E 1 ST. BRGY LONGOS DAGAT- DAGATAN - MALABON 4,250.00 CITY - 4,250.00 7-May-19 19-2187 AGUAS, ROBINSON R. BRGY PANGATLAN MEXICO PAMPANGA - 6,230.00 - 6,230.00 7-May-19 19-2188 ALBA, ARNOLD D. 826 MINDORO ST. BRGY 572, ZONE 56 SAMPALOC MANILA - 1,830.00 - 1,830.00 7-May-19 19-2189 LEBRILLA, LORNA M. 736 QUEZON AVENUE ST. BRGY TATALON ARANETA - QUEZON AVENUE 1,235.00 QUEZON CITY - 1,235.00

Page 36 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

7-May-19 19-2190 CABRERA, ROLLY M. 1811 INT. 73 BO. STA. MARIA ST. BRGY 818, ZONE 88 - PACO MANILA 2,350.00 - 2,350.00 8-May-19 19-2191 SANTOS, PATRICIO M. 15 H IGNACIO ST. BRGY BAGONG BAYAN NAVOTAS CITY- 2,350.00 - 2,350.00 8-May-19 19-2192 BLANCO, JAIME V. 939 KUSANG LOOB ST. BRGY 314 STA CRUZ MANILA - 940.00 - 940.00 8-May-19 19-2193 SEÑO, DENNIS S. 174 DEL MUNDO HERNANDO ST. BRGY DALANDANAN - VALENZUELA 1,310.00 CITY - 1,310.00 8-May-19 19-2194 SALAZAR, ROSANA V. 1122- A. TOMAS MAPUA ST. BRGY 335 STA. CRUZ MANILA - 2,380.00 - 2,380.00 8-May-19 19-2195 CHAMISO, IRENE S. P5 PCKG5 B5 L2 ST. BRGY BAGONG SILANG CALOOCAN - CITY 2,040.00 - 2,040.00 8-May-19 19-2196 DIAZ, ALBERTO P. BLK. 8 LOT 11 ST. BRGY ESTRELLA SAN PEDRO LAGUNA - 4,645.00 - 4,645.00 8-May-19 19-2197 NAZARETA, JACKIELOU C. 2407 ARELLANO AVE. SINGALONG ST. BRGY 754 MALATE - MANILA 1,235.00 - 1,235.00 8-May-19 19-2198 ALVARADO, ROSELIA GATE54 PAROLA AREA-C ST. BRGY 275 BINONDO MANILA - 2,680.00 - 2,680.00 9-May-19 19-2199 FAJARDO, MARIO Q. 2610 A. JESUS ST. BRGY 835 PANDACAN MANILA - 915.00 - 915.00 9-May-19 19-2200 GOZON, REYNALDO A. 144 A.CRUZ ST. BRGY NONE TANGOS NAVOTAS CITY - 270.00 - 270.00 9-May-19 19-2201 AVE, SHEENA MAE M. 36 SALMON ST. BRGY 8 CALOOCAN CITY - 360.00 - 360.00 19-May-19 19-2202 YU, GLORIA B33. L22, R5, LANGKAAN II, DASMARIÑAS, CAVITE - 1,235.00 - 1,235.00 9-May-19 19-2203 VICENTE, SARA S. 150 PAHATI ST. BRGY 138 TONDO MANILA - 2,350.00 - 2,350.00 9-May-19 19-2204 SUNGA, MA. FE V. BLK. 20 LOT 6, SEC 24, PABAHAY 2000 ST. BRGY MUZON - SAN JOSE DEL 530.00 MONTE BULACAN - 530.00 9-May-19 19-2205 DABU, CORAZON C. 1667 YANGCO ST. BRGY 81 TONDO MANILA - 820.00 - 820.00 9-May-19 19-2206 MA-OY, VIRGINIA M. 40 PILI ST. BRGY NORTH SIGNAL VILLAGE TAGUIG CITY - 1,235.00 - 1,235.00 9-May-19 19-2207 CRUZ, LORINA M. 27 B HEROES DEL 96 ST. BRGY 74 CALOOCAN CITY - 1,300.00 - 1,300.00 9-May-19 19-2208 PEREZ, DENVER J. 2650 LICO ST. BRGY 210 TONDO MANILA - 1,235.00 - 1,235.00 9-May-19 19-2209 AUSTRIA, AGUSTIN GARRY A. 639 INT. 2 GERONIMO ST ST. BRGY 432 SAMPALOC MANILA - 580.00 - 580.00 9-May-19 19-2210 DALIDA, ROSEMARIE P. 441 PNR CMPD. ST. BRGY 73 SAMSON RD. CALOOCAN - CITY 640.00 - 640.00 9-May-19 19-2211 PAISTE, CEFERINO P. 1139 INT, 23 B. VARGAS ST. TONDO MANILA - 424.00 - 424.00 9-May-19 19-2212 VICENTE, CAROLINA T. 1681 BULACAN ST. BRGY 382 STA CRUZ MANILA - 2,490.00 - 2,490.00 9-May-19 19-2213 CALUNSOD, JINKY A. BLDG4 UNIT81 TEMPORARY HOUSING ST. BRGY 105 - TONDO MANILA CITY 820.00 - 820.00 9-May-19 19-2214 MERCADO, PAULYN L. 2147 VELASQUEZ ST. BRGY 96 TONDO MANILA - 955.00 - 955.00 9-May-19 19-2215 BALAO, GLENDA C. BRGY POBLACION CALAYAN CAGAYAN - 600.00 - 600.00 9-May-19 19-2216 MARI, AILEEN O. LOT 6 BLOCK 88 PHASE 2 C3 KALAWAKAN ROAD, KARANGALAN - VILLAGE 770.00 ST. BRGY MANGGAHAN - PASIG CITY 770.00 10-May-19 19-2217 ANACION, ROSEMARIE D. 195 ANDA ST. BRGY RIZAL POBLACION LOPEZ QUEZON - PROVINCE 2,350.00 - 2,350.00 10-May-19 19-2218 AN, RHODORA M. 03 ST. BRGY LANGKA MEYCAUAYAN BULACAN - 1,235.00 - 1,235.00 10-May-19 19-2219 LABAN, ANDREA P. 1414 C. TOMAS MAPUA ST. BRGY 334 STA. CRUZ MANILA - 6,230.00 - 6,230.00 10-May-19 19-2220 BACOLOD, YOLANDA M. 860 INT. 9 ANAHAW ST. ST. BRGY BALINGHASA QUEZON - CITY 885.00 - 885.00 10-May-19 19-2221 CERDEÑA, ROMEO D. 258 OSMEÑA ST. BRGY 122 TONDO MANILA - 1,060.00 - 1,060.00 10-May-19 19-2222 MANABAT, MARWIN M. B 87 ST. BRGY BINUYAN PROPER SAN JOSE DEL MONTER - BULACAN 2,350.00 - 2,350.00 10-May-19 19-2223 SAN JUAN, ROSELA R. 76 ESTANO ST ST. BRGY TUGATOG MALABON CITY - 2,620.00 - 2,620.00 10-May-19 19-2224 SEE, JOHN PATRICK L. 695 ILAYA ST. BRGY MALABAN BIÑAN LAGUNA - 7,100.00 - 7,100.00 10-May-19 19-2225 MABILIN, KRIS S. 8 MILKYWAY METEOR HOMES ST. BRGY FORTUNE MARIKINA- CITY 12,900.00 - 12,900.00 10-May-19 19-2226 DACQUEL, ELENITO C. 108 VILLOGO ROAD ST. BRGY BF HOME SUCAT PARANAQUE - 1,235.00 - 1,235.00 10-May-19 19-2227 GABUCAYAN, BENITO A. 76 KAHUNARY ST. BRGY SAN JOSE NAVOTAS CITY - 530.00 - 530.00 10-May-19 19-2228 DELA CRUZ, FE B. 361 MARULAS A. ST. BRGY 36 1ST AVENUE CALOOCAN - CITY 600.00 - 600.00 10-May-19 19-2229 RETIRO, MELINDEZ I. 99 GEN TIRONA ST. BRGY 145 BAGONG BARRIO CALOOCAN - CITY 820.00 - 820.00 10-May-19 19-2230 RAPSING, EDEN D. 8 ZAPOTE ST. BRGY 134 BAGONG BARRIO CALOOCAN - CITY 5,105.00 - 5,105.00 12-May-19 19-2231 PEPITO, MARYCHEL M. 912 MURILLO ST. BRGY 393 QUIAPO MANILA - - 29,604.49 29,604.49 14-May-19 19-2232 CRUZADA, JUANITO A. 1628 ANTONIO ST. BRGY 342 SAMPALOC MANILA - 2,500.00 - 2,500.00 14-May-19 19-2233 ARCIBAL, GERMIE JADE D. 777 J. MANUEL ST. BRGY PAG-IBIG SA NAYON BALINTAWAK - QUEZON CITY 530.00 - 530.00 14-May-19 19-2234 Sadiasa, Dennis T. DULONG HERRERA STREET ST. BRGY IBABA MALABON - CITY 615.00 - 615.00 14-May-19 19-2235 CASAQUITE, TERESITA G. BLK 137 LOT 35 PH 1 MABUHAY CITY ST. BRGY PALIPARAN - III DASMARIÑAS 270.00 CAVITE - 270.00 14-May-19 19-2236 BAYDAL, GRACE E. 078 ELISCAS ST. BRGY STO. CRISTO ANGGAT BULACAN - 700.00 - 700.00 14-May-19 19-2237 BORRE, RANDY B. 567 HERMOSA ST. BRGY 182 TONDO MANILA - 1,105.00 - 1,105.00 14-May-19 19-2238 DE GUZMAN, FAITH E. PH.1 PACKAGE 4 BLK. 55 LOT 11 ST. BRGY 176 BAGONG - SILANG CALOOCAN 5,105.00 - 5,105.00 14-May-19 19-2239 TABORA, JOSEPH Q. 50 LALLANA ST. BRGY 104 TONDO MANILA - 635.00 - 635.00 14-May-19 19-2240 PANDI, MARILYN M. BLK 38 LOT 27 PHASE 2 AREA 4 ST. BRGY NBBS DAGAT-DAGATAN - NAVOTAS 1,530.00 CITY - 1,530.00 14-May-19 19-2241 CASTILLO, ROMUALDO D. 1833 CAVITE BLUMENTRITT ST. BRGY 370 SAMPALOC - MANILA 690.00 - 690.00 14-May-19 19-2242 SACASAN, MARIA M. BRGY 11 MABUHAY CARMONA CAVITE - 1,615.00 - 1,615.00 15-May-19 19-2243 BACANI, ROWENA F. 2701 LICO ST. BRGY 211 TONDO MANILA - 370.00 - 370.00 15-May-19 19-2244 GUERRERO, REMEDIOS S. BLK. 24 LOT 4 VILLANOVA ST. BRGY NAGKAISANG NAYON - NOVALICHES 635.00 QUEZON CITY - 635.00 15-May-19 19-2245 LUCERO, MARITESS B. 832 NICANOR REYES ST. BRGY 395 SAMPALOC MANILA - 915.00 - 915.00 15-May-19 19-2246 SARMIENTO, RAIN B. 373 L. SANTOS ST. BRGY TANGOS NAVOTAS CITY - 530.00 - 530.00 15-May-19 19-2247 SARMIENTO, RENZ B. 373 L. SANTOS ST. BRGY TANGOS NAVOTAS - 530.00 - 530.00 15-May-19 19-2248 TABUGARA, DENNIS M. 72 ILANG ILANG ST. BRGY MAYSAN VALENZUELA CITY - 2,680.00 - 2,680.00 15-May-19 19-2249 ALFORTE, GUILLERMA A. PIER 1 FISHPORT COMPLEX ST. BRGY NBBN NAVOTAS - CITY 755.00 - 755.00 15-May-19 19-2250 MARTIN, MILENA A. B 48 F. L12 PHASE 3 E2 ST. BRGY LONGOS MALABON - CITY 1,235.00 - 1,235.00

Page 37 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

15-May-19 19-2251 CASINGAL, ROMELYN E. BLK. 43 LOT 30 AREA 1 ST. BRGY LAWANG PARI SAN - JOSE DEL MONTE 485.00 BULACAN - 485.00 15-May-19 19-2252 VILLANUEVA, MANILYN L. 12 FORTUNATO ST ST. BRGY TAMBUBONG BOCAUE - BULACAN 820.00 - 820.00 15-May-19 19-2253 MAGTIBAY, LUDWIG FLOYD OSKAR106 B. RD. 2 DIAM ST. BRGY GEN. T. DELEON VALENZUELA - CITY 635.00 - 635.00 15-May-19 19-2254 TEJANO, HILDA D. 1222-E TAMBUNTING ST. BRGY 374 STA CRUZ MANILA - 675.00 - 675.00 15-May-19 19-2255 BULURAN, VINCENT D. 1301 TORRES BUGALLON ST. BRGY 212 TONDO MANILA - 530.00 - 530.00 15-May-19 19-2256 RODRIGUEZ, JERAMI F. 1542 INTERIOR 10 PANDAY PIRA ST. BRGY 61 TONDO - MANILA 360.00 - 360.00 15-May-19 19-2257 MACAPUGAY, RUBEN V. 1609 D REYES ST. BRGY LAMAO LIMAY BATAAN - 570.00 - 570.00 16-May-19 19-2258 TULIAO, FLORIZA MAE C. 1990 B. DAANG BAKAL ST. BRGY 232 TONDO MANILA - 130.00 - 130.00 16-May-19 19-2259 STA. MARIA, EDUARDO G. 104 GEN. T. ALVAREZ ST. 10TH AVENUE ST. BRGY 66 - CALOOCAN CITY 7,340.00 - 7,340.00 16-May-19 19-2260 CABRIGAS, LEONOR G. 455 LACSON ST. BRGY 85 TONDO MANILA - 765.00 - 765.00 16-May-19 19-2261 CABALLA, MARIA F. 38 VICTORIA VILLAGE ST. BRGY CANUMAY EAST VALENZUELA - CITY 2,500.00 - 2,500.00 16-May-19 19-2262 CABRAL, PRESCILLA M. 539 MORGA ST. BRGY 6 TONDO MANILA - 1,440.00 - 1,440.00 16-May-19 19-2263 CALDERON, EVELYN M. 74 MANUNGGAL ST. BRGY TATALON QUEZON CITY - 2,100.00 - 2,100.00 16-May-19 19-2264 ESPELA, RIZALINA I. 2629 -E INT2 DAGUPAN EXT ST. BRGY 164 TONDO MANILA - 635.00 - 635.00 16-May-19 19-2265 DECENA, EMMANUEL F. 1079 BATANGAS ST. BRGY 221 TONDO MANILA - 1,620.00 - 1,620.00 16-May-19 19-2266 DELA CRUZ, NANCY D. 1408 POLO TRANSMITTING TELECOMPOUND ST. BRGY - KARUHATAN VALENZUELA 635.00 - 635.00 16-May-19 19-2267 Tamayo, Purisima C. 707 CALABASH RD. ST. BRGY 533 SAMPALOC MANILA - 3,855.00 - 3,855.00 16-May-19 19-2268 ESTARIZ, PELITA P. 301 11 ST ST. BRGY 93 GRACEPARK CALOOCAN CITY - 820.00 - 820.00 7-May-19 19-2269 ARNOLD ALBA SAMPALOC MANILA - 210.00 - 210.00 16-May-19 19-2270 SERVIDAD, JEREMY R. 25 GALGUERA ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 1,520.00 - 1,520.00 16-May-19 19-2271 NOLASCO, JUNALYN M. 17 A. MANGA ST. BRGY KATIPUNAN QUEZON CITY - 1,880.00 - 1,880.00 16-May-19 19-2272 GUDES, ALICIA B. 32 GULAYAN ST. BRGY CONCEPCION MALABON CITY - 860.00 - 860.00 16-May-19 19-2273 BENOSA, VERGIE B. BLK 7 LOT 6 SECTION 12 PH2 ST. BRGY MUZON SAN - JOSE DEL MONTE BULACAN940.00 - 940.00 17-May-19 19-2274 PURIFICACION, PABLO R. 170 BAYANIHAN ST. BRGY 152 BAGONG BARRIO CALOOCAN - 130.00 - 130.00 17-May-19 19-2275 ALIPIO, MANUEL R. 757 A. KAGANDAHAN ST. BRGY 163 GAGALANGIN, TONDO - MANILA 990.00 - 990.00 17-May-19 19-2276 REYES, JULITA M. 342 MATIMYAS ST. BRGY MALINTA VALENZUELA CITY - 2,500.00 - 2,500.00 17-May-19 19-2277 GACUTAN, JOSEFINA G. 62 PANDAY PIRA, BAGONG PIRA ST. BRGY 148 BAGONG - BARRIO CALOOCAN 715.00 CITY - 715.00 17-May-19 19-2278 MONDRAGON, RAYMUNDO C. BLK 8 LOT 9 EZEKIEL, GOODWILL HOMES II ST. BRGY - BAGBAG NOVALICHES 2,500.00 QUEZON CITY - 2,500.00 17-May-19 19-2279 TULAGAN, PRINCE IAN A. TIMBAGAN ST. BRGY PRENZA I MARILAO BULACAN - 745.00 - 745.00 17-May-19 19-2280 LANSANGAN, ROSALIE F. 123 L. NADURATA ST. BRGY 31 CALOOCAN CITY - 410.00 - 410.00 17-May-19 19-2281 VILLALUNA, ALFREDO V. PHASE 8A PACKAGE 14 BLOCK 9 LOT 11 ST. BRGY 176 - BAGONG SILANG 650.00 CALOOCAN CITY - 650.00 17-May-19 19-2282 SAMPAYAN, RUBY C. BRGY SAHUD ULAN TANZA CAVITE - 635.00 - 635.00 17-May-19 19-2283 DOMINGUEZ, VIRGINIA B. 1622 DIVINITO ST. BRGY KASILAWAN MAKATI CITY - 530.00 - 530.00 17-May-19 19-2284 DELA CRUZ, ELVIRA M. 2094 CLIMENTE ST. BRGY 158 JUAN LUNA, TONDO MANILA - 1,335.00 - 1,335.00 20-May-19 19-2285 BATOON, TERESITA M. 1247 SEVERINO ST. BRGY 328 STA. CRUZ MANILA - 660.00 - 660.00 20-May-19 19-2286 SANTOS, GLORIA J. 1314 MAYHALIGUE ST. BRGY 262 TONDO MANILA - 765.00 - 765.00 20-May-19 19-2287 LIMUN, ANGELITA L. 26 NATIVIDAD ST. BRGY 81 CALOOCAN CITY - 635.00 - 635.00 20-May-19 19-2288 DE LEON, ROMEO O. 757 KAGANDAHAN ST. BRGY 163 TONDO MANILA - 2,500.00 - 2,500.00 20-May-19 19-2289 RAFOLS, MONALIZA D. 17 HERERRA ST. BRGY IBABA MALABON CITY - 1,685.00 - 1,685.00 20-May-19 19-2290 MANSILUNGAN, MAXIMO S. 414 A PUROK 4 CALLE BIGA ST. BRGY SAN PABLO MALOLOS - BULACAN 530.00 - 530.00 20-May-19 19-2291 RAMOS, ARLENE O. 10 JM TEMPLORA ST. BRGY SANTULAN MALABON CITY - 530.00 - 530.00 20-May-19 19-2292 ARMAS, AMELIA D. 1498 D.M. COMPOUND, HEROS DEL 96 ST. BRGY 76 CALOOCAN- CITY 1,235.00 - 1,235.00 20-May-19 19-2293 SALAMIA, JUVY F. 17 MANGGAHAN, LIM COMPOUND ST. BRGY SAN DIONISIO - PARAÑAQUE 1,485.00 CITY - 1,485.00 21-May-19 19-2294 AUSTRIA, FLORECITA B. LOT F4 EIREENVILLE SUBD. ST. BRGY GEN. T. DELEON - VALENZUELA 2,230.00 CITY - 2,230.00 21-May-19 19-2295 LOBATON, ARLENE P. 289 BARRIO PASITA ST. BRGY 95 CALOOCAN CITY - 815.00 - 815.00 21-May-19 19-2296 LONGYAPON, LILIBETH M. 162 GUTAMPO ST. BRGY 16 PASAY CITY - 2,500.00 - 2,500.00 21-May-19 19-2297 MERCADO, LIBERTY D. 1750 TECSON ST. BRGY 255 TONDO MANILA - 1,930.00 - 1,930.00 21-May-19 19-2298 SALAYBAR, ABIGAEL B. 782 L DAGUPAN ST. BRGY 164 TONDO MANILA - 615.00 - 615.00 21-May-19 19-2299 JUAB, BENITA C. 1809 LAON LAAN ST. BRGY 485 SAMPALOC MANILA - 1,590.00 - 1,590.00 21-May-19 19-2300 DIZON, RACQUEL P. 1026 ARATELIS ST. BRGY CAA LAS PIÑAS - 1,085.00 - 1,085.00 22-May-19 19-2301 BALANE, LILIA N. 70 C VICTORI ST. BRGY TATALON QUEZON CITY - 725.00 - 725.00 22-May-19 19-2302 VELASCO, GRACE B. 416 DASENG COPADA ST. BRGY 34 MAYPAJO CALOOCAN - CITY 770.00 - 770.00 22-May-19 19-2303 HERNANDEZ, ARMANDO B. PH4 B16 L16 PACITA COMPLEX 1 ST. BRGY PACITA 1 - SAN PEDRO LAGUNA 2,500.00 - 2,500.00 22-May-19 19-2304 RALLECA, RAIZA JANE Y. 2545 M. HIZON ST. BRGY 366 STA. CRUZ MANILA - 990.00 - 990.00 22-May-19 19-2305 NAZARETA, JACKIELOU C. 2407 ARELLANO AVE. SINGALONG ST. BRGY 754 MALATE - MANILA 130.00 - 130.00 22-May-19 19-2306 YUMUL, WILFREDO S. 1578 NIHAGA ST. BRGY 65 TONDO MANILA - 635.00 - 635.00 22-May-19 19-2307 SANTILECES, ENCARNACION P. 0036 GATE 17 AREA D PAROLA ST. BRGY 20 TONDO - MANILA 635.00 - 635.00 22-May-19 19-2308 DIOCO, CELIA M. 2022 INT. 34 G. PERFECTO ST. BRGY 157, ZONE 15 TONDO - MANILA 620.00 - 620.00 22-May-19 19-2309 PAGALA, WALTER R. 1097 B3 TAYABAS ST. BRGY 231 TONDO MANILA - 900.00 - 900.00 23-May-19 19-2310 ADRIANO, RYAM S. 199 2ND AVE. SEVILLA ST. BRGY 38 CALOOCAN CITY - 960.00 - 960.00 23-May-19 19-2311 HAW, AYTI 1440 A. OROQUIETA ST. BRGY 320, ZONE 32 STA. CRUZ - MANILA 210.00 - 210.00

Page 38 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

23-May-19 19-2312 SANTOS, CARLO P. 2644 SEVERINO NREYES ST. BRGY 209 TONDO MANILA - 635.00 - 635.00 23-May-19 19-2313 GREZER, JAIME JR. S. 721 BANAL ST. BRGY 186 TONDO MANILA - 1,310.00 - 1,310.00 23-May-19 19-2314 GUAÑO, BEATRIZ G. 64 LIBIS ESPINA ST. BRGY 14 CALOOCAN CITY - 675.00 - 675.00 23-May-19 19-2315 SORIANO, ANGELA MARIE M. 991 INT. 9 MORONG ST. BRGY 198 TONDO MANILA - 635.00 - 635.00 24-May-19 19-2316 MANAOIS, QUIRINA M. 55 STOTSENBURG ST. BRGY 66 CALOOCAN - 1,670.00 - 1,670.00 24-May-19 19-2317 IMPERIAL, MARCELINO L. 1421 MARISSA ST. BRGY GEN T. DE LEON VALENZUELA - CITY 635.00 - 635.00 24-May-19 19-2318 GALLON, MARILYN S. 369 NAVARRO ST. BRGY 92, ZONE 8 TONDO MANILA - 1,570.00 - 1,570.00 24-May-19 19-2319 MENDOZA, CARMIE S. 1281 INT 38 TAMBUNTING ST. BRGY 373 STA CRUZ MANILA- 1,235.00 - 1,235.00 24-May-19 19-2320 MONTEFRIO, MARY GRACE L. 28 GERONIMO ST. BRGY STA. MONICA NOVALICHES - QUEZON CITY 5,105.00 - 5,105.00 24-May-19 19-2321 GRONA, LENIE B. B32 EXT L63 PHASE 3 F1 D-DAGATAN ST. BRGY 12 CALOOCAN - CITY 1,235.00 - 1,235.00 24-May-19 19-2322 GRONA, LENIE B. B32 EXT L63 PHASE 3 F1 D-DAGATAN ST. BRGY 12 CALOOCAN - CITY 410.00 - 410.00 24-May-19 19-2323 SAURO, ELINA D. 1940 B. SEVERINO REYES ST. BRGY 353 STA CRUZ MANILA - 1,235.00 - 1,235.00 24-May-19 19-2324 PENIZ, MARIA RODESSA D. 842 ANGALO ST. BRGY 276 TONDO MANILA - 1,235.00 - 1,235.00 24-May-19 19-2325 VISTAL, ANGELO C. 22 EXPLORER ST. BRGY MOONWALK LAS PINAS - 2,880.00 - 2,880.00 24-May-19 19-2326 FELIZCO, PRINCESS HOPE M. 96 KALIRAYA ST. BRGY TATALON QUEZON CITY - 860.00 - 860.00 24-May-19 19-2327 LENTIJA, KATHLEEN GRACE M. 1709 M. NATIVIDAD ST. BRGY 337 STA CRUZ MANILA - 1,235.00 - 1,235.00 24-May-19 19-2328 CALIJA, MARIA ELZIEH B. 816 NINO VILLE ST. BRGY PARTIDA NORZAGARAY BULACAN - 1,235.00 - 1,235.00 24-May-19 19-2329 IGNO, RONALD G. 2097 LAMESA ST. BRGY UGONG VALENZUELA CITY - 5,100.00 - 5,100.00 24-May-19 19-2330 RODRIGUEZ, ROBINA C. 334 BLK. 28 LOT 12 PHASE 3 ST. BRGY 14, ZONE 2 DAGAT-DAGATAN - 1,235.00CALOOCAN CITY - 1,235.00 24-May-19 19-2331 REVILLA, ROMAN M. 1069 NEW ANTIPOLO ST. BRGY 218 TONDO MANILA - 1,310.00 - 1,310.00 24-May-19 19-2332 IGNACIO, MARILYN M. 1289-A SIBILYA ST. BRGY 46 TONDO MANILA - 1,235.00 - 1,235.00 26-May-19 19-2333 MOICO, RANULFO L. PUROK 5 ST. BRGY MAGSAYSAY SAN PEDRO LAGUNA - - 538.50 538.50 27-May-19 19-2334 ZABAY, NOLI C. 491 AREA B GATE 10 PAROLA ST. BRGY 20 TONDO MANILA - 935.00 - 935.00 27-May-19 19-2335 DE GUZMAN, NESTOR S. 278 PINAGSABUGAN ST. BRGY LONGOS MALABON CITY - 635.00 - 635.00 27-May-19 19-2336 BELEN, SARAH JANE C. 58 RAOD 3 SAN HEIGHTS ST. BRGY MARULAS VALENZUELA - CITY 90.00 - 90.00 27-May-19 19-2337 DE GRACIA, ANALIN D. B10 L7 PH2 VILLA ARAGON ST. BRGY MUZON SAN JOSE - DEL MONTE BULACAN 820.00 - 820.00 27-May-19 19-2338 CASTILLO, MARCELINO I. 168 M. HIZON ST. BRGY 64 CALOOCAN CITY - 650.00 - 650.00 27-May-19 19-2339 CARO, GIRLIE T. 384 DULONG TANGKE ST. BRGY MALINTA VALENZUELA - CITY 1,235.00 - 1,235.00 27-May-19 19-2340 VILLADOS, LYNN R. 29TH ST., NORTH CEMETERY ST. BRGY 172 STA. CRUZ - MANILA 2,280.00 - 2,280.00 27-May-19 19-2341 CARLOS, RAMIL R. 519 WEST ANTIPOLO ST., GAGALANGIN ST. BRGY 169 - TONDO MANILA 2,880.00 - 2,880.00 27-May-19 19-2342 TOJON, RONALDO A. BLOCK 143 LOT 24 ST. BRGY TAGUIG - CITY 765.00 - 765.00 27-May-19 19-2343 LIWANAG, RAMON G. 1255 A. BAMBANG ST ST. BRGY 254 TONDO MANILA - 2,880.00 - 2,880.00 28-May-19 19-2344 BANATAO, SALVACION L. 116-A ANONAS ST. BRGY 148 BAGONG BARRIO CALOOCAN - CITY 1,235.00 - 1,235.00 28-May-19 19-2345 COLUMBRES, GILBERT C. 1234 - B TAYABAS ST. BRGY 225 TONDO MANILA 261.00 - - 261.00 28-May-19 19-2346 NICOLAS, MARY A. 1713 ESTRADA ST. BRGY 775 SAN ANDRES BUKID MANILA - 1,235.00 - 1,235.00 28-May-19 19-2347 OLIVEROS, JOY S. 31 SAMPAGUITA ST. BRGY MARULAS VALENZUELA -CITY 1,235.00 - 1,235.00 28-May-19 19-2348 DOMINGO, NICOLE ANNE C. 1526 J. FAJARDO ST. BRGY 431 SAMPALOC MANILA - 1,235.00 - 1,235.00 28-May-19 19-2349 HORNILLOS, ADORACION H. 26 FRANVILLE 3, ZABARTE ROAD ST. BRGY KALIGAYAHAN - NOVALICHES 1,235.00 QUEZON CITY - 1,235.00 28-May-19 19-2350 ESPINO, MA. CRISELDA C. BLOCK 6 LOT 64 TAMBAKOL ST. BRGY 28 DAGAT-DAGATAN - CALOOCAN 300.00 CITY - 300.00 28-May-19 19-2351 MOSE, JULIETA J. BLK. 21 LOT 18 PH.1 ORION ST. BRGY 171 DELA COSTA - HOMES CALOOCAN - 3,144.14 3,144.14 28-May-19 19-2352 HIPOLITO, JESUS JR. 3195 LIMAY ST. BRGY 193 MANUGIUT TONDO MANILA 7,854.00 - - 7,854.00 28-May-19 19-2353 JOCSON, LOVELINA O. 162 ILAW ST. BRGY 135 BALUT, TONDO MANILA - 530.00 - 530.00 29-May-19 19-2354 CHANGCO, ESTRELLA M. 2123 H. JUAN LUNA ST ST. BRGY 149 TONDO MANILA - 820.00 - 820.00 29-May-19 19-2355 NAVAL, MARIANO C. 1154 D. LUALHATI ST. BRGY 33 TONDO MANILA 1,006.60 - - 1,006.60 29-May-19 19-2356 OBIDOS, KARINA P. 4279 DIAM ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 530.00 - 530.00 29-May-19 19-2357 SANTOS, ROSALIE L. 19 GEN. TERONA ST. BRGY 138 BAGONG BARRIO CALOOCAN - CITY 1,235.00 - 1,235.00 29-May-19 19-2358 MANDAR, BABYLYN G. B 64 LOT 4 AREA G ST. BRGY CITRUS SAPANG PALAY - SJDM BUALCAN 1,235.00 - 1,235.00 29-May-19 19-2359 SANTOS, NORMA C. 14 LILIBETH ST. BRGY 55 TONDO MANILA - 2,500.00 - 2,500.00 29-May-19 19-2360 DANAN, CRISTETA 1419 MATA ST. BRGY 117 BARRIO MAGSAYSAY, TONDO - MANILA 1,235.00 - 1,235.00 29-May-19 19-2361 SANTOS, NORMA C. 14 LILIBETH ST. BRGY 55 TONDO MANILA - 1,235.00 - 1,235.00 29-May-19 19-2362 ORTEGA, ALDRE D. BRGY 123 TONDO MANILA - 530.00 - 530.00 29-May-19 19-2363 BALOGO, CYNTHIA T. 7A SANTAN ST. BRGY POTERERO ARANETA SUBD. MALABON - CITY 1,235.00 - 1,235.00 29-May-19 19-2364 BALOGO, CYNTHIA T. 7A SANTAN ST. BRGY POTERERO ARANETA SUBD. MALABON - CITY 1,045.00 - 1,045.00 29-May-19 19-2365 VILLARUEL, ANGELITO S. 1202 CAMBA EXT ST. BRGY 45 TONDO MANILA - - 530.00 530.00 29-May-19 19-2366 MANSILUNGAN, MAXIMO S. 414 A PUROK 4 CALLE BIGA ST. BRGY SAN PABLO MALOLOS - BULACAN 1,235.00 - 1,235.00 30-May-19 19-2367 RENTURA, REMIA S. 147 DULONG HERRERA ST. BRGY IBABA MALABON -CITY 1,235.00 - 1,235.00 30-May-19 19-2368 BELEN, BLANQUITA J. 1017 METRICA ST. BRGY 504 SAMPALOC MANILA 1,093.50 - - 1,093.50 30-May-19 19-2369 CORRALES, AMELIA A. 3962 ILAYA XZONE 4 ST. BRGY MALABAN BINAN LAGUNA - 3,300.00 - 3,300.00 1-May-19 19-2370 PALARUAN, AILEEN C. 266 CRISTOBAL ST. BRGY 123 TONDO MANILA - - 4,571.92 4,571.92 31-May-19 19-2371 TORRALBA, JOSEPHINE V. 1536 FELIX HUERTES ST. BRGY 323 STA. CRUZ MANILA - 300.00 - 300.00 31-May-19 19-2372 DIZON, ANGELITA L. 608 PENALOSA ST. BRGY 78 TONDO MANILA - - 2,358.01 2,358.01

Page 39 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

10-May-19 19-2373 USON, ROOSEVELT B. 1721 CAVITE ST. BRGY 315 STA CRUZ MANILA - 640.00 - 640.00 9-May-19 19-2374 LASPRILLA, JENNY B. BLK6 LOT10 ST. BRGY 169 BASECO COMP, PORT AREA - MANILA CITY 2,280.00 - 2,280.00 28-May-19 19-2375 SUNGA, SONNY M. 1577 ASTER ALLEY QURINO ST. BRGY 108 TONDO MANILA - - 104,721.86 104,721.86 23-May-19 19-2376 SACBIBIT, FLAVIANO F. 031 CONSUELO STREET, ST. BRGY GULOD NPVALICHES - QUEZON CITY - 171,423.35 171,423.35 28-May-19 19-2377 NAVARRA, REANNE RHAIZEN F. 95 ROSEVILLE PUROK ST. KAWIT CAVITE - - 22,660.03 22,660.03 17-May-19 19-2378 PRIJOLES, RAYMUNDO M. BRGY BARANGAY PARAÑAQUE CITY - - 6,787.58 6,787.58 24-May-19 19-2379 TIONG, KIEL AMBER T. BRGY ISABEL KAWIT CAVITE - - 2,141.06 2,141.06 7-Jun-19 19-2380 SARMIENTO, JUDY V. 1288 KASIPAGAN ST. BRGY 42 TONDO MANILA - 800.00 - 800.00 11-Jul-19 19-2381 JHONNY LAMURIN PAUSAL HEULUM ST. GOLDEN CITY DASMARINAS CAVITE - - 400,000.00 400,000.00 12-Jul-19 19-2382 GABALES, CRISHALYN NICOLE L. BRGY SAN PIOQUINTO MALVAR BATANGAS - - 167,069.45 167,069.45 17-Jul-19 19-2383 DEL CASTILLO, MERCY R. BLK 39 LOT 15 NORTHVILLE 4A ST. BRGY LAMBAKIN - MARILAO BULACAN - 161,788.99 161,788.99 19-Jul-19 19-2384 SUPAN, EMELITO P. BLOCK 16 LOT 25 BANABA DAPDAP ST. BRGY NONE - BAMBAN TARLAC CITY - 220,893.07 220,893.07 19-Jul-19 19-2385 SANCHEZ, EDUARDO B. 170 ST. BRGY ENCANTO ANGAT BULACAN - - 103,990.42 103,990.42 20-Jul-19 19-2386 ROMERO, SUSANA T. 220 MEL ALCALDE ST. BRGY 109 TONDO MANILA - - 341,918.53 341,918.53 21-Jul-19 19-2387 NOCON, SALVADOR M. BRGY SAPA 2 ROSARIO CAVITE - - 322,465.61 322,465.61 23-Jul-19 19-2388 CARPIO, RAFAEL R. BRGY URDANETA VICTORIA ORIENTAL MINDORO - - 116,729.24 116,729.24 10-Jul-19 19-2389 NAZARENO, JANET V. 1159 MASINOP ST. ST. BRGY 33 TONDO MANILA - - 111,923.69 111,923.69 27-Jul-19 19-2390 CARPIO, RAFAEL R. BRGY URDANETA VICTORIA ORIENTAL MINDORO - - 116,729.24 116,729.24 19-Jul-19 19-2391 CABRERA, LEONORA S. BLK 9 LOT 1 SEC 16 PH2 PABAHAY 2000 ST. BRGY MUZON - SJDM BULACAN - 525,772.77 525,772.77 12-Jul-19 19-2392 OSORIO, ANTONIO O. BRGY POBLACION SAN ILDEFONSO BULACAN - - 189,929.74 189,929.74 2019-06-01 19-2393 MATA, JOSHUA T. BRGY SAN JOSE 3 BACOOR CAVITE - - 11,593.86 11,593.86 2019-06-21 19-2394 ACOSTA, LUCY C. 1928 IMMACULADA ST. BRGY 232 TONDO MANILA - - 36,672.13 36,672.13 2019-06-03 19-2395 MALLARI, LIGAYA C. 1120 BATANGAS ST. BRGY 221 TONDO MANILA 17,996.95 - - 17,996.95 2019-06-03 19-2396 MACAPAGAL, LUZVIMINDA B. 213 A MOLAVE ST. BRGY 221 TONDO MANILA 17,996.95 - - 17,996.95 2019-06-03 19-2397 DE LEON, FLORISSA A. 1279 J. RAMOS ST. BRGY IBAYO TIPAS TAGUIG 5,661.35 - - 5,661.35 2019-06-03 19-2398 ABBAS, RUTH 1495 ANASTACIO ST. BRGY GUADALUPE NUEVO 2,598.25 MAKATI CITY - - 2,598.25 2019-06-03 19-2399 BASILIO, ROMELLA LYN T. 004 BYPASS RD ST. BRGY GUYONG STA. MARIA 5,543.12BULACAN - - 5,543.12 2019-06-03 19-2400 DELA CRUZ, ROSARIO 0265 MELENCIO EXT. ST. BRGY KAPITAN PEPE 38,780.40 CABANUTUAN - - 38,780.40 2019-06-03 19-2401 NERPIO, DIEMI N. BRGY SAN LUIS LUISIANA LAGUNA 18,283.12 - - 18,283.12 2019-06-03 19-2402 BAEL, JULIETA PH1 BLK 2 LOT 3 NORTHVILLE ST. BRGY BIGNAY 11,782.45 VALENZUELA - - 11,782.45 2019-06-03 19-2403 MANALESE, CAROLYN A. BLK 18 LOT 8 DE GULA COMPD ST. BRGY NONE 18,023.20 GEN. T. DE LEON VALENZUELA - CITY - 18,023.20 2019-06-03 19-2404 SAN GABRIEL, RODORA E. BRGY ALAGAO SAN ILDEFONSO BULACAN 38,923.15 - - 38,923.15 2019-06-03 19-2405 MAMENTA, MONA V. 392 SAN LUIS ST. BRGY HALAYHAYIN SINILUAN 38,923.15 LAGUNA - - 38,923.15 2019-06-03 19-2406 BORINAGA, GILMA T. BRGY TAGAPULAN SANTOSO WESTERN SAMAR 9,064.92 - - 9,064.92 2019-06-03 19-2407 ACUZAR, MARICHU 425 M. DELA FUENTE ST. BRGY NONE SAMAPALOC, 38,882.55 MANILA - - 38,882.55 2019-06-03 19-2408 SANTOS, FLORDELIZA A. BLK. 45 LOT 16 PH. 2 ST. BRGY WINDWARD DASMARIÑAS 2,538.65 CAVITE - - 2,538.65 2019-06-03 19-2409 GALMAN, ESPERANZA S. 30 PAJO ST. BRGY SAN ISIDRO II PAOMBONG BULACAN 7,428.12 - - 7,428.12 2019-06-03 19-2410 GIMENEZ, MIRIAM G. 201 CAMIAS ST. SAN MIGUEL MANILA 12,153.70 - - 12,153.70 2019-06-03 19-2411 JAMON, JENIFER M. AB 2 103 HARDIN NG ROSAS PUROK AGUINALDO 38,792.05 ST. BRGY UP CAMPUS QUEZON - CITY - 38,792.05 2019-06-03 19-2412 ARCENO, LINA PHASE 2 PKG.1 BLK 3 LOT 2 ST. BAGONG SILANG 38,780.40 CALOOCAN CITY - - 38,780.40 2019-06-03 19-2413 DOMINGO, MARIBETH C. 24 ZONE 2 ST. BRGY CAMP. TINEO CABANATUAN 38,780.40 - - 38,780.40 2019-06-03 19-2414 ALANZALON, SYLVIA S. 266 BALON PISCAL ST. BRGY BANCAL MEYCAUAYAN 18,283.12 BULACAN - - 18,283.12 2019-06-04 19-2415 SANTIAGO, CARMELITA BRGY BANABAN ANGAT BULACAN 18,283.12 - - 18,283.12 2019-06-04 19-2416 MALATE, ANA LISA O. 5154 SAN GREGORIO ST. BRGY NONE GEN. T. DE78,832.65 LEOM VALENZUELA CITY - - 78,832.65 2019-06-04 19-2417 OBEÑA, AMALIA D. BRGY STO. TOMAS NUEVA ECIJA 7,032.92 - - 7,032.92 2019-06-04 19-2418 LACAR, MADELENE B. 796 LT. MARIO CASTRO ST. BRGY SAMPAGUITA 13,741.55 CARIDAD CAVITE CITY - - 13,741.55 2019-06-04 19-2419 SANTOS, CLARMINDA C. 5 J. B SANTOS ST. BRGY TANGOS NAVOTAS CITY 38,923.15 - - 38,923.15 2019-06-04 19-2420 VIERNES, NARCISA B. BRGY SABATAN ORION BATAAN CITY 9,952.10 - - 9,952.10 2019-06-04 19-2421 DE LEON, MARIA HAIDEE B. 68 PUROK 3 SILVERIO CPMD. ST. BRGY SAN ISIDRO 4,117.05 PARAÑAQUE CITY - - 4,117.05 2019-06-04 19-2422 BACAL, ROSEDOLLE MARIE S. 1547 G. TUAZON ST. BRGY 436 SAMPALOC MANILA 39,337.35 - - 39,337.35 2019-06-04 19-2423 TUBAÑA, CLAUDIA S. 11 SAN DIEGO ST. STO, ROSARIO ST. BRGY MAYSAN 78,882.55 VALENZUELA CITY - - 78,882.55 2019-06-04 19-2424 SULA, JOSEPH C. 6050 DEL MUNDO ST. BRGY UGONG VALENZUELA 985.00 CITY - - 985.00 2019-06-04 19-2425 DE GUZMAN, MARDIELYN S. BLK 53 LOT 5 PH 1-C ST. BRGY NBBS KAUNLARAN 1,062.12 NAVOTAS CITY - - 1,062.12 2019-06-04 19-2426 MALLAPRE, ROBERTO M. 1320 DM COMPUND BRGY 73 CALOOCAN CITY 475.70 - - 475.70 2019-06-04 19-2427 Villamor, Nonita B. BLK. 28 LOT 02 PH. 1-A ST. BRGY NBBS NAVOTAS 79,203.15 - - 79,203.15 2019-06-04 19-2428 BULACAN, ESTELA 142 PUROK 4 ST. LUGAM MALOLOS BULACAN 61,177.35 - - 61,177.35 2019-06-04 19-2429 CURAN, OFELIA M. 8A NAGA ROAD ST. BRGY PULANG LUPA II LAS 38,882.55 PIÑAS CITY - - 38,882.55 2019-06-04 19-2430 ESPIRITU, LIGAYA F. BRGY TAMBUBONG SAN RAFAEL BULACAN 78,870.90 - - 78,870.90 2019-06-04 19-2431 BALDOMARO, LEONILA L. BRGY STO. NIÑO LAOANG NORTHERN SAMAR 9,952.10 - - 9,952.10 2019-06-04 19-2432 DELA CRUZ, ERLINDA F. BRGY PUTLOD JAEN NUEVA ECIJA 78,832.65 - - 78,832.65 2019-06-04 19-2433 BAGUIO, DELIA N. 150 ROXAS ST. TONDO MANILA 2,524.85 - - 2,524.85

Page 40 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-06-04 19-2434 LADERAS, MARYJANE L. BRGY CAGANHAO BOAC MARINDUQUE 13,668.20 - - 13,668.20 2019-06-04 19-2435 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY 1,791.50 PROJECT 4 QUEZON CITY - - 1,791.50 2019-06-04 19-2436 ELLSWORTH, ROBERTSON M. 604 ESPIRITU ST. BRGY NONE ABRERA PASAY 31,744.40 CITY - - 31,744.40 2019-06-04 19-2437 TIMOGTIMOG, EDNA 28 MANILANA ST. PUROK 7 PH 1 ST. BRGY MALANDAY 4,523.85 MARIKINA - - 4,523.85 2019-06-04 19-2438 VILLALON, ARCELI G. 423 BLOCK 9 TAMBAKAN BASECO ST. BRGY NONE 18,438.95 PORT AREA MANILA - - 18,438.95 2019-06-06 19-2439 ALO, CRIS WARREN E. BLOCK 8 LOT 20 TOWER VILLE ST. BRGY STO. CRISTO 5,823.20 SJDM BULACAN - - 5,823.20 2019-06-06 19-2440 SAMSON, EMELITA BLK 27 LOT 38 PHASE I HERITAGE HOMES ST. MARILAO 2,638.85 BULACAN - - 2,638.85 2019-06-06 19-2441 SANTOS, GRACE 178 STA. ISABEL ST. BRGY APOLONIO SAMSON 8,227.45 QUEZON CITY - - 8,227.45 2019-06-06 19-2442 BAUTISTA, JOFEL BLK 9 LOT 25 PH 2 GREENGATE HOMES ST. BRGY 17,996.95 NONE MALAGASANG CAVITE - - 17,996.95 2019-06-06 19-2443 DIENTE, JONALIZZA 29 ST. BRGY ICAS SAN JUAN ILOCOS NORTE 10,016.35 - - 10,016.35 2019-06-06 19-2444 MENDOZA, TERESITA B. BLK 135 LOT4 KAGANDAHAN ST. BRGY SAN ISIDRO 7,146.30 CAINTA RIZAL - - 7,146.30 2019-06-06 19-2445 ABARRACOSO, MARICEL G. PUROK 6 ST. BRGY BACAO 1 GEN. TRIAS CAVITE 2,229.50 - - 2,229.50 2019-06-06 19-2446 PASCUA, JESUSITA P. 29 B. CALAVITE ST. BRGY SALVACION LALOMA 18,283.12 QUEZON CITY - - 18,283.12 2019-06-06 19-2447 NECESITO, LIELANI D. 1003 TIBAGAN ST. BRGY CAY POMBO STA. MARIA 7,260.60 BULACAN - - 7,260.60 2019-06-06 19-2448 LOPEZ, ALEX B. ZON 2 ST. BRGY MATAOROC MINALABAC CAMARINES 2,048.80 SUR - - 2,048.80 2019-06-07 19-2449 BALONGA, FELICIANO JR. 127 TINEJERO ST. BRGY NONE PULILAN BULACAN 4,613.00 - - 4,613.00 2019-06-07 19-2450 GARCIA, ARMANDO A. 1257 A. LARDIZABAL ST. BRGY 413 SAMPALOC 18,283.20 MANILA - - 18,283.20 2019-06-07 19-2451 LINGAD, RAYMOND J. 1281 INT. 11 TAMBUNTING ST. BRGY 373 STA. 40,493.70 CRUZ MANILA - - 40,493.70 2019-06-07 19-2452 CLEMENTE, EDITHA L. 19 PHODACA ST. BRGY STO. NIÑO GALAS QUEZON 1,768.00 CITY - - 1,768.00 2019-06-07 19-2453 RELOZ, VICENTA R. 451 ST. BRGY ANABU 1-C IMUS CAVITE 36,270.00 - - 36,270.00 2019-06-07 19-2454 LIM, ANDREW D. 72 INT C JOSE ST. BRGY 261 MALIBAY PASAY CITY31,218.20 - - 31,218.20 2019-06-07 19-2455 MENDEZ, ZENY I. BRGY PUNTA LOOC ROMBLON 1,659.40 - - 1,659.40 2019-06-10 19-2456 ABBAS, RUTH 1495 ANASTACIO ST. BRGY GUADALUPE NUEVO 6,285.60 MAKATI CITY - - 6,285.60 2019-06-10 19-2457 TABALINA, ROWENA R. #5 MAYO ST. MAGSAYSAY EXT ST. BRGY SAN AGUSTIN 6,285.60 MALABON CITY - - 6,285.60 2019-06-10 19-2458 NATABA, NATIVIDAD S. BLK 57 E LOT 2 PHASE 3 F2 SUGPO ST. BRGY 8 KAUNLARAN2,548.10 VILLAGE CALOOCAN - CITY - 2,548.10 2019-06-10 19-2459 BAEL, JULIETA PH1 BLK 2 LOT 3 NORTHVILLE ST. BRGY BIGNAY 7,428.12 VALENZUELA - - 7,428.12 2019-06-11 19-2460 OBEÑA, AMALIA D. BRGY STO. TOMAS NUEVA ECIJA 2,586.55 - - 2,586.55 2019-06-11 19-2461 DE GUZMAN, RUFINA C. BLK 15 LOT 13 ST. BRGY MERRY HOMES CALOOCAN 78,780.40 CITY - - 78,780.40 2019-06-11 19-2462 ESTRELLA, SATURNINA C. BRGY CUTCUT GUIGUINTO BULACAN 628.45 - - 628.45 2019-06-11 19-2463 FABABAER, RODOLFO S. 1988 G. PERFECTO ST. BRGY 197 TONDO MANILA 18,393.70 - - 18,393.70 2019-06-11 19-2464 ZABLAN, ZENAIDA V. 2104-C MOLAVE ST. BRGY 221 TONDO MANILA - 350.00 - 350.00 2019-06-11 19-2465 IGNACIO, JHOANA -. 240 D. RODRIGUEZ ST. BRGY 129, ZONE 11 BALUT, TONDO - MANILA 300.00 - 300.00 2019-06-13 19-2466 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY 1,650.70 PROJECT 4 QUEZON CITY - - 1,650.70 2019-06-13 19-2467 CAPE, MABEL M. BRGY LIPAHAN SAN JUAN BATANGAS 13,731.15 - - 13,731.15 2019-06-13 19-2468 BELEN, JANNET 0541 ST. BRGY BINTOG PLARIDEL BULACAN 38,923.15 - - 38,923.15 2019-06-13 19-2469 DELA CRUZ, ESTER 54 ST. BRGY TAMBUBONG BOCAUE BULACAN 2,437.55 - - 2,437.55 2019-06-13 19-2470 HENSON, HYDIE A. 1675 INT.11 F. VARONA ST. BRGY 79 TONDO MANILA 38,923.15 - - 38,923.15 2019-06-14 19-2471 POLLENTE, MARICEL V. 31 SAN JOSE ST. SFDM BRGY STO ANTONIO QUEZON 38,882.55 CITY - - 38,882.55 2019-06-14 19-2472 SAZON, LEVIC B. BLK 1 LOT 39 BAY VIEW VILLAGE SUBDIVISION 13,852.10 ST. STA ROSA LAGUNA CITY - - 13,852.10 2019-06-14 19-2473 FERRER, AILEN 19 B BLOCK A STO. NIÑO ST. BRGY SAN ANTONIO 38,882.55 SAN JOSE DEL MONTE QUEZON - CITY - 38,882.55 2019-06-14 19-2474 SALAZAR, REA NIÑA BRGY BONGA MENOR BUSTOS BULACAN 38,923.15 - - 38,923.15 2019-06-14 19-2475 CRUZ, MEL P. 30 MAGSAYSAY ST. BRGY TS CRUZ SUBDIVISION 13,811.00 NOVALICHES QUEZON CITY - - 13,811.00 2019-06-14 19-2476 BADIDLES, CARMELITA G. 0062 ST. BRGY BOTOCAN QUEZON CITY 12,981.10 - - 12,981.10 2019-06-14 19-2477 PARIÑO, GLORIA C. 126 ST. BRGY LIGAYA ROSARIO BATANGAS 78,870.90 - - 78,870.90 2019-06-14 19-2478 AGUILAR, EDNA G. 45 ST. BRGY IBA MEYCAUAYAN BULACAN 3,308.35 - - 3,308.35 2019-06-17 19-2479 REGODOS, MARICEL T. 398 F. DULALIA ST. BRGY LINGUNAN VALENZUELA CITY- 1,235.00 - 1,235.00 2019-06-17 19-2480 DE PEDRO, NELVA G. 144 M. BAUTISTA ST. BRGY ARKONG BATO VALENZUELA 13,852.10 CITY - - 13,852.10 2019-06-17 19-2481 BELIZAR, MA. CRISTERIA P. 127-9 DULONG BRONZE ST. BRGY TUGATOG MALABON 7,260.60 - - 7,260.60 2019-06-17 19-2482 HILARIO, MYRNA M. BLDG 14 ROOM 203 VITAS KATUPARAN ST. BRGY 12,991.50 101 TONDO MANILA - - 12,991.50 2019-06-17 19-2483 FRIAS, LILIA C. B6 L25 AMABELLE HO. ST. BRGY 167 LLANO CALOOCAN11,826.30 CITY - - 11,826.30 2019-06-17 19-2484 RODRIGUEZ, JOSEFINA N. BRGY SAN ISIDRO II PAOMBONG BULACAN 38,882.55 - - 38,882.55 2019-06-17 19-2485 Dela Cruz, Helen V. 1706 SUNFLOWER ST. AREA D ST. BRGY 177 CALOOCAN13,825.60 CITY - - 13,825.60 2019-06-17 19-2486 BAGUIO, DELIA N. 150 ROXAS ST. TONDO MANILA 18,571.80 - - 18,571.80 2019-06-17 19-2487 DE LEON, EULALIA PUROK 1 ST. BRGY KAPITANGAN PAOMBONG 12,981.10 BULACAN - - 12,981.10 2019-06-17 19-2488 Ngan, Gigi P. 137 9TH AVENUE CORNER 2ND ST. ST. BRGY 107 5,814.70 GRACEPARK CALOOCAN -CITY - 5,814.70 2019-06-17 19-2489 MENDEZ, ZENY I. BRGY PUNTA LOOC ROMBLON 1,650.70 - - 1,650.70 2019-06-17 19-2490 DUQUE, MITOS P. 3225 D. OROQUIETA ST. BRGY 347 STA. CRUZ 38,923.15 MANILA - - 38,923.15 2019-06-17 19-2491 DE CASTRO, DEBBIE 5078 MALOLOS ST. BRGY TEJEROS MAKATI 13,981.10 - - 13,981.10 2019-06-17 19-2492 SISON, REGINA V. 2533 R. FERNANDEZ ST. ST. BRGY 176 TONDO 18,198.45 MANILA - - 18,198.45 2019-06-17 19-2493 MEDINA, BRENDA 273 NADURATA ST. BRGY 66 10TH AVE. CALOOCAN 13,825.60 CITY - - 13,825.60 2019-06-18 19-2494 SORIANO, JANE 27 NAGUIRANGAN ST. BRGY NONE BATAC ILOCOS 12,981.10 - - 12,981.10

Page 41 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-06-18 19-2495 OLIVEROS, CORAZON H. BRGY SAN FERNANDO MALVAR BATANGAS 6,628.45 - - 6,628.45 2019-06-18 19-2496 ANGELO, OFELIA C. 2647 S. DEL ROSARIO ST. GAGALANGIN ST. BRGY 13,825.60 175 TONDO MANILA - - 13,825.60 2019-06-18 19-2497 DELOS REYES, LORETA C. BRGY MATABANG TUBIG BALIWAG BULACAN 78,923.07 - - 78,923.07 2019-06-18 19-2498 ERESMAS, FLORDELIZA F. 30 H2 MEMPIS ST. BRGY SAN ANTONIO HOLIDAY 23,204.80 HILLS SAN PEDRO, LAGUNA - - 23,204.80 2019-06-18 19-2499 BALAJADIA, ARCHEL J. 53 J. P. RIZAL ST. BRGY SALA CABUYAO LAGUNA 27,493.70 - - 27,493.70 2019-06-18 19-2500 TOLENTINO, FLORENTINA R. 68 ANTIPOLO ST. BRGY NONE MAYPAJO CALOOCAN 13,841.70 CITY - - 13,841.70 2019-06-18 19-2501 MAGNO, JUDITH O. 14 ANONAS EST. WEST NDC CMPD ST. BRGY 628 STA. 86.47 MESA MANILA - - 86.47 2019-06-18 19-2502 CATALBAS, RAZEL B. 2075 F. KUSANG LOOB ST. BRGY 354 STA. CRUZ 1,373.66 MANILA - - 1,373.66 2019-06-19 19-2503 BACHICHA, RHODNEY M. BRGY 09 CATBOLOGAN SAMAR 2,780.20 - - 2,780.20 2019-06-19 19-2504 PERSONA, MA. VICTORIA S. 871 ST. BRGY ILANG-ILANG GUIGUINTO BULACAN 5,610.00 - - 5,610.00 2019-06-19 19-2505 MALLAPRE, ROBERTO M. 1320 DM COMPUND ST. BRGY 73 CALOOCAN 26,875.85CITY - - 26,875.85 2019-06-19 19-2506 LIM, ANDREW D. 72 INT C JOSE ST. BRGY 261 MALIBAY PASAY CITY 7,057.65 - - 7,057.65 2019-06-19 19-2507 SANCHEZ, MERCEDITA M. 899 PUROK 7 ST. BRGY GULOD CABUYAO LAGUNA 17,353.70 - - 17,353.70 2019-06-19 19-2508 TIFLIS, BENAFE C. 208 B. HULO ST. BRGY LIBTONG MEYCAUAYAN 18,393.70 BULACAN - - 18,393.70 2019-06-20 19-2509 AVELINO , ROSSANA L. 1675 IMELDA ST. BRGY 108 TONDO MANILA 814.70 - - 814.70 2019-06-20 19-2510 GLOR, ANGELINA 32 PINGKIAN 1 ST. BRGY PASONG TAMO QUEZON 18,382.05 CITY - - 18,382.05 2019-06-20 19-2511 VIRTUCIO, HELEN M. 620 DAANG BAKAL ST. BRGY LUSAKAN TIAONG 13,768.00 QUEZON - - 13,768.00 2019-06-20 19-2512 MALLARI, LIGAYA C. 1120 BATANGAS ST. BRGY 221 TONDO MANILA 18,068.45 - - 18,068.45 2019-06-20 19-2513 AQUINO, VIRGINIA F. 2287 PABLO ST. BRGY GEN. T. DE LEON ANGELES 78,923.07 EXTENTION VALENZUELA - CITY - 78,923.07 2019-06-20 19-2514 SANTOS, CLARMINDA C. 5 J. B SANTOS ST. BRGY TANGOS NAVOTAS CITY 7,753.20 - - 7,753.20 2019-06-20 19-2515 CAPE, MABEL M. BRGY LIPAHAN SAN JUAN BATANGAS 11,871.90 - - 11,871.90 2019-06-20 19-2516 CLEMENTE, EDITHA L. 19 PHODACA ST. BRGY STO. NIÑO GALAS QUEZON 1,768.00 CITY - - 1,768.00 2019-06-20 19-2517 MOLINES, MARISSA R. 3416 F. ROXAS ST. BRGY SAN AGUSTIN, HAGONOY 14,263.20 BULACAN - - 14,263.20 2019-06-20 19-2518 LACAR, GLORIA M. BLK 8 SEC 18 PHASE 2 PABAHAY 2000 ST. BRGY 8,164.60 MUZON SAN JOSE DEL MONTE - BULACAN - 8,164.60 2019-06-21 19-2519 TABALINA, ROWENA R. #5 MAYO ST. MAGSAYSAY EXT ST. BRGY SAN AGUSTIN 2,548.10 MALABON CITY - - 2,548.10 2019-06-21 19-2520 AGUENZA, DELIA PFDA NFPC ST. BRGY NBBS NAVOTAS CITY 9,100.00 - - 9,100.00 2019-06-21 19-2521 MANALANG, JESSICA BLK. 8 LOT 7 SACRED HEART VIKK ST. BRGY QUIRINO 2,593.35 HIWAY NOVALICHES - QUEZON CITY - 2,593.35 2019-06-21 19-2522 GUILLERMO, BONIFACIO P. 206 INDUSTRIAL ROAD ST. BRGY KARUHATAN 91,477.45 KARUHATAN VALENZUELA - CITY - 91,477.45 2019-06-21 19-2523 DE LEON, ANALYN S. 1107 QUIRICADA ST. BRGY 237 TONDO MANILA 13,825.60 - - 13,825.60 2019-06-21 19-2524 MORALES, CYNTHIA F. 1395 D ATIS ALLEY CONCHA ST. BRGY 121 TONDO 43,180.40 MANILA - - 43,180.40 2019-06-21 19-2525 CACHOLA, MARIA G. EVANGELITA I MAGAT ST. BRGY BAGUMBUHAY 1,560.20 PROJECT 4 QUEZON CITY - - 1,560.20 2019-06-25 19-2526 NERPIO, DIEMI N. BRGY SAN LUIS LUISIANA LAGUNA 14,716.90 - - 14,716.90 2019-06-25 19-2527 SANTOS, GRACE S. 178 STA. ISABEL ST. BRGY APOLONIO SAMSON 11,783.20 QUEZON CITY - - 11,783.20 2019-06-25 19-2528 VIRAY, ELSA I. 55 PANGAKO ST. BRGY 151 BAGONG BARRIO CALOOCAN17,801.03 CITY - - 17,801.03 2019-06-25 19-2529 ACOSTA, LUZ B. A6 DUPAT COMPOUND ST. BRGY BAGBAG NOVALICHES 13,841.70 QUEZON CITY - - 13,841.70 2019-06-25 19-2530 MAGTOTO, WENEFREDA R. 2772 J. TALADTAD ST. BRGY 182 GAGALANGIN 7,168.20 TONDO MANILA - - 7,168.20 2019-06-25 19-2531 MANALESE, CAROLYN A. BLK 18 LOT 8 DE GULA COMPD ST. BRGY NONE 18,283.15 GEN. T. DE LEON VALENZUELA - CITY - 18,283.15 2019-06-25 19-2532 DELA CRUZ, WILMEN C. 1362 GANA COMPOUND ST. BRGY UNANG SIGAW 21,580.20 BALINTAWAK QUEZON CITY - - 21,580.20 2019-06-25 19-2533 DE LEON, FLORISSA A. 1279 J. RAMOS ST. BRGY IBAYO TIPAS TAGUIG 13,841.70 - - 13,841.70 2019-06-25 19-2534 LADERAS, MARYJANE L. BRGY CAGANHAO BOAC MARINDUQUE 19,238.70 - - 19,238.70 2019-06-25 19-2535 BALDOMARO, LEONILA L. BRGY STO. NIÑO LAOANG NORTHERN SAMAR 22,806.65 - - 22,806.65 2019-06-25 19-2536 BORJAL, LYDIA T. BLK 2C LOT 12 PHASE III ST. BRGY 14 KAUNLARAN 11,995.70 VILLAGE CALOOCAN - - 11,995.70 2019-06-25 19-2537 GALMAN, ESPERANZA S. 30 PAJO ST. BRGY SAN ISIDRO II PAOMBONG BULACAN 7,473.40 - - 7,473.40 2019-06-25 19-2538 PERSONA, MA. VICTORIA S. 871 ST. BRGY ILANG-ILANG GUIGUINTO BULACAN 31,070.00 - - 31,070.00 2019-06-25 19-2539 MACAPAGAL, LUZVIMINDA B. 213 A MOLAVE ST. BRGY 221 TONDO MANILA 18,023.20 - - 18,023.20 2019-06-25 19-2540 QUIÑONES, ROGELIO 2550 GRANATE ST. ST. BRGY 766 SAN ANDRES 7,213.70BUKID MANILA - - 7,213.70 2019-06-25 19-2541 ABDULLA, MENELEAH D. BRGY BULAKIN II DOLORES QUEZON 15,726.70 - - 15,726.70 2019-06-26 19-2542 SOMES, CYNTHIA A. 15 MANAPAT ST. BRGY TANYONG MALABON 22,841.55 CITY - - 22,841.55 2019-06-26 19-2543 ALMONTE, MILAGROS S. 0091 MALUGAY ST. BRGY SAN MARTIN DE PORRES 2,548.10 PARAÑAQUE - - 2,548.10 2019-06-26 19-2544 SAN GABRIEL, RODORA E. BRGY ALAGAO SAN ILDEFONSO BULACAN 38,923.15 - - 38,923.15 2019-06-26 19-2545 TAÑO, ROLDAN L. 046 ST. BRGY CAMACHILIHAN BUSTOS BULACAN 5,373.70 - - 5,373.70 2019-06-26 19-2546 BALAGTAS, GAUDELIA L. 20 PRES. GARCIA TEOVILLE EAST ST. BRGY BF 21,980.95 HOMES PARAÑAQUE CITY - - 21,980.95 2019-06-26 19-2547 DIENTE, JONALIZZA B. 29 ST. BRGY ICAS SAN JUAN ILOCOS NORTE 2,424.55 - - 2,424.55 2019-06-26 19-2548 NECESITO, LIELANI D. 1003 TIBAGAN ST. BRGY CAY POMBO STA. MARIA 18,196.70 BULACAN - - 18,196.70 2019-06-26 19-2549 BISARES, MARIPAZ G. 54 M. CRUZ ST. BRGY BARANGKA MARIKINA 12,992.75 - - 12,992.75 2019-06-26 19-2550 BULACAN, ESTELA A. 142 PUROK 4 ST. BRGY NONE LUGAM MALOLOS 18,023.20 BULACAN - - 18,023.20 2019-06-26 19-2551 AGUSTIN, ELIZABETH M. BLK 3 LOT 26 PHASE C-1 ST. BRGY FRANCISCO 21,916.10 HOMES SAN JOSE DEL MONTE - BULACAN - 21,916.10 2019-06-26 19-2552 BORINAGA, GILMA T. BRGY TAGAPULAN SANTOSO WESTERN SAMAR 22,065.00 - - 22,065.00 2019-06-26 19-2553 NATABA, NATIVIDAD S. BLK 57 E LOT 2 PHASE 3 F2 SUGPO ST. BRGY 8 KAUNLARAN2,437.55 VILLAGE CALOOCAN - CITY - 2,437.55 2019-06-26 19-2554 TIMOGTIMOG, EDNA 28 MANILANA ST. PUROK 7 PH 1 ST. BRGY MALANDAY 2,454.90 MARIKINA - - 2,454.90 2019-06-26 19-2555 BALONGA, FELICIANO JR. 127 TINEJERO ST. BRGY NONE PULILAN BULACAN 11,229.95 - - 11,229.95

Page 42 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-06-27 19-2556 BALDONO, SUSANA D. 9412 M HIZON BLUMENTRIT ST. BRGY 365 STA. 13,768.00 CRUZ MANILA - - 13,768.00 2019-06-27 19-2557 ANZANO, RODELIA BRGY STA. CLARA SUR PILA LAGUNA 7,463.07 - - 7,463.07 2019-06-27 19-2558 RUSSEL, GLORIA A. B 44 L29 PHASE1C BONITO ST. BRGY NBBS NAVOTAS 14,532.65 CITY - - 14,532.65 2019-06-27 19-2559 RAMOS, PATRICIA C. 09 DOLORITO ST. BRGY PUNTURIN VALENZUELA 22,841.55 CITY - - 22,841.55 2019-06-27 19-2560 LIBUNAO, ALFRED 26 PISA ST. BRGY NONE BF HOMES LAS PIÑAS 20,843.90 CITY - - 20,843.90 2019-06-27 19-2561 CAÑETE, DELFA m. 315 SITIO BUKID ST. BRGY RIVERSIDE SAN PEDRO 5,543.15 LAGUNA - - 5,543.15 2019-06-27 19-2562 SANTIAGO, CARMELITA BRGY BANABAN ANGAT BULACAN 15,058.95 - - 15,058.95 2019-06-27 19-2563 ROA, LYDIA 79 IBONG PILAK ST. BRGY STA. MONICA NOVALICHES 18,393.70 QUEZON CITY - - 18,393.70 2019-06-27 19-2564 LOVENARIO, EVANGELINE C. BRGY CONCEPCION PINAGBAKURAN SIARA QUEZON 2,383.90 PROVINCE - - 2,383.90 2019-06-27 19-2565 ABBAS, RUTH 1495 ANASTACIO ST. BRGY GUADALUPE NUEVO 2,548.10 MAKATI CITY - - 2,548.10 2019-06-27 19-2566 ALZOLA, MARIBEL S. BLK 52 LOT 6 VILLA SARAGOZA ST. BRGY TURO 23,204.80 BOCAUE BULACAN - - 23,204.80 2019-06-27 19-2567 CALIMLIM, NATY R. 189 10TH AVE 10TH ST. ST. BRGY 93 GRACE PARK 1,383.20 CALOOCAN - - 1,383.20 2019-06-27 19-2568 LINGAD, RAYMOND J. 1281 INT. 11 TAMBUNTING ST. BRGY 373 STA. 14,903.15 CRUZ MANILA - - 14,903.15 2019-06-28 19-2569 RELOZ, VICENTA R. 451 ST. BRGY ANABU 1-C IMUS CAVITE 3,770.00 - - 3,770.00 2019-06-28 19-2570 DIEGO, LESLIE S. BRGY SAN VICENTE ZARAGOSA NUEVA ECIJA 22,065.00 - - 22,065.00 2019-06-28 19-2571 DELA CRUZ, FE B. 361 MARULAS A. ST. BRGY 36 1ST AVENUE CALOOCAN - CITY 7,340.00 - 7,340.00 2019-06-28 19-2572 ARIOLA, GINA F. 1ST ST. EVERSIDE ST. BRGY TAÑONG MALABON 22,841.55 - - 22,841.55 2019-06-28 19-2573 MENDEZ, ZENY I. BRGY PUNTA LOOC ROMBLON 1,613.85 - - 1,613.85 2019-06-30 19-2574 BALLENA, DENNIS S. B 22 EXT ST. BRGY ADDITION HILLS MANDALUYONG 6,660.00 CITY - - 6,660.00 2019-06-08 19-2575 LIWANAG, RAYLEAN N. BRGY 248 TONDO MANILA - - 1,902.95 1,902.95 2019-06-08 19-2576 BULAO, JHUNKO HANNA C. BRGY MABULO NAIC CAVITE - - 7,935.11 7,935.11 2019-06-08 19-2577 DELA CRUZ, ALLAN A. BRGY 310 STA. CRUZ MANILA - - 13,042.91 13,042.91 2019-06-07 19-2578 GONZALES, ROWEL A. BRGY 338 STA. CRUZ MANILA - - 4,522.59 4,522.59 2019-06-09 19-2579 DICEN, NIECA D. 1036 QUEZON BLVD ST. BRGY 464, ZONE 46 SAMPALOC - MANILA - 1,194.19 1,194.19 2019-06-09 19-2580 MIPARANUM, RICHARD B. 12 BAGONG KALSADA ST. BRGY TANGOS NAVOTAS CITY- - 7,574.37 7,574.37 2019-06-09 19-2581 ARNAIZ, KRISTELYN I. PUROK 1 ST. BRGY ABUD QUEZON ISABELA - - 44,265.53 44,265.53 2019-06-08 19-2582 AÑOVER, ROMULO E. BRGY CABANGCALAN STA FE LEYTE - - 84,544.94 84,544.94 2019-06-10 19-2583 DALURAYA, TYRON P. BRGY 163 TONDO MANILA - - 12,140.24 12,140.24 2019-06-10 19-2584 SURIGAO, AXL RANZ P. BRGY APOLONIO SAMSON QUEZON CITY - - 3,575.68 3,575.68 2019-06-10 19-2585 ENRIQUEZ, SIMEON JR V. BRGY LOOC I MALOLOS BULACAN - - 20,066.59 20,066.59 2019-06-19 19-2586 CANDO, MICHAEL BRYAN R. 975 ST. BRGY BARS HABAY I BACOOR CAVITE - - 5,148.92 5,148.92 2019-06-19 19-2587 RIVERA, RODRIGO S. BLK 12 LOT 26 FLEUR DE LIZ ST. BRGY 179 CAPITOL - PARK HOMES CAMARIN - CALOOCAN CITY 9,147.38 9,147.38 2019-06-19 19-2588 CELERA, ROSITA A. BRGY MAMBOG IV BACOOR CAVITE - - 9,274.62 9,274.62 2019-06-01 19-2589 Agustin, Mercedita M. BLK 18 LOT 3 NARRA 2 ST. BRGY VULIHAN SILANG CAVITE - - 5,992.53 5,992.53 2019-06-01 19-2590 ARCEO, SAMANTHA K. 1078 CORREGEDOR ST. BRGY 203 TONDO MANILA - - 962.36 962.36 2019-06-01 19-2591 CARIZO, OSCAR E. BRGY SANTOL BALAGTAS BULACAN - - 5,936.20 5,936.20 2019-06-02 19-2592 PILAPIL, MARCIAL EARL A. BRGY MAPULANG-LUPA VALENZUELA CITY - - 1,213.77 1,213.77 2019-06-03 19-2593 TAGACAY, LEONEL L. BRGY MANREZA QUEZON CITY - - 7,902.70 7,902.70 2019-06-15 19-2594 IMPERIAL, MARCELINO L. 1421 MARISSA ST. BRGY GEN T. DE LEON VALENZUELA - CITY - 11,861.33 11,861.33 2019-06-15 19-2595 BIGALAN, ZHANE P. BLDG 28, UNIT 401 PERMANENT HOUSING, ST. BRGY - 128 BALUT, TONDO MANILA- 64,305.84 64,305.84 2019-06-15 19-2596 SAMBRANO, IVORY CHELL S. BRGY CITRUS SAPANG PALAY BULACAN - - 76,631.92 76,631.92 2019-06-19 19-2597 LEGASPI, CHRISTINE F. BRGY 50 TONDO MANILA - - 32,702.30 32,702.30 2019-06-01 19-2598 BAYONA, ASTERIO G. 1412 SANCHEZ ST. BRGY 250 TONDO MANILA - - 13,146.38 13,146.38 2019-06-15 19-2599 BUSMION, PATRECIO C. 47 LIWAYWAY ST. BRGY BAYAN BAYANAN MALABON - CITY - 6,651.43 6,651.43 2019-06-29 19-2600 YBANEZ, LEANDRO III Q. 312 ORTEGA ST. BRGY 33 TONDO MANILA - - 43,867.51 43,867.51 2019-06-03 19-2601 CRUZ, RUBEN M. 1619 HONDRADEZ ST. ST. BRGY NONE SAMPALOC 9,726.60 MANILA - - 9,726.60 2019-06-21 19-2602 BATHAN, MARICEL T. 17 ANTURIUM PUROK 7 ST. BRGY MALANDAY MARIKINA - CITY - 13,681.19 13,681.19 2019-06-06 19-2603 GALLARDO, MIRAFLOR M. BRGY ROMBLON LOS BAÑOS LAGUNA 9,198.00 - - 9,198.00 2019-06-27 19-2604 ARQUILLO, MARISSA C. AREAJ,BLK22,LOT4 ST. BRGY MADERAN GMA CAVITE - - 3,342.16 3,342.16 2019-06-25 19-2605 DISOR, MARIA VANESSA M. 28 PALANSA ST. BRGY DOÑA IMELDA QUEZON CITY - - 1,070.88 1,070.88 2019-06-03 19-2606 REYES, LORETO A. BRGY STA RITA MARILAO BULACAN - - 15,458.91 15,458.91 2019-06-04 19-2607 TALA, QUEEN KIELA F. BRGY 222 TONDO MANILA - - 876.75 876.75 2019-06-04 19-2608 SANTOS, BENEDICT B. 1217 ANACLETO ST. BRGY 332 STA. CRUZ MANILA - - 43,618.11 43,618.11 2019-06-05 19-2609 NORTEZ, HIVEY GIN S. BRGY DIKAPINISAN SAN LUIS AURORA - - 3,576.40 3,576.40 2019-06-05 19-2610 MANALO, LIGAYA B. SAN ISIDRO ST. BRGY GINTING ROSARIO BATANGAS - - 6,128.84 6,128.84 2019-06-05 19-2611 CONDEZ JR, HILARIO R. BRGY LAWANG-BATO VALENZUELA CITY - - 114.37 114.37 2019-06-05 19-2612 BOÑON, JENNELYN M. 396 EAST BANK ROAD PGVI B3 ST. BRGY SAN ANDRES - CAINTA RIZAL - 576.03 576.03 2019-06-16 19-2613 PATORITO, FRANCIS D. ZONE 2 ODICON ST. BRGY PASACAO CAMARINES SUR - - 57,883.90 57,883.90 2019-06-16 19-2614 PORRAS, HIZBETH MARIE B. BRGY ALANGILANAN MANUYOD NEGROS ORIENTAL - - 22,521.03 22,521.03 2019-06-18 19-2615 ROSETE, SHAUN TROY B. LORING ST. BRGY 80 PASAY - - 13,961.33 13,961.33 2019-06-18 19-2616 MANESE, ELMER H. 1570 MARIA CLARA ST. BRGY 343 STA CRUZ MANILA - - 4,527.83 4,527.83

Page 43 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-06-18 19-2617 ESICO, NEXT 104 V.MAPA ST. BRGY 109 TONDO MANILA - - 9,832.45 9,832.45 2019-06-18 19-2618 BUCO, PRINCESS ROSE C. 79 INT DIMASALANG ST. BRGY 26 CALOOCAN CITY - - 2,712.10 2,712.10 2019-06-18 19-2619 SETIA, KYLE MADISON N. BLK 1 LOT 82 GUMAMELA SAN LORENZO RUIZ ST. BRGY - GAWARAN MOLINO - 7 BACOOR CAVITE 8,327.72 8,327.72 2019-06-18 19-2620 BIRON, SHARMAINE S. BRGY SAN PASCUAL OBANDO BULACAN - - 19,829.98 19,829.98 2019-06-18 19-2621 MURRO, RAMON C. DULO LAMBAKIN ST. BRGY PANTOC MARILAO BULACAN - - 5,473.58 5,473.58 2019-06-20 19-2622 NAPOLE, JOHN LEO R. 1574 C QUIRINO ST. BRGY 108 TONDO MANILA - - 9,641.91 9,641.91 2019-06-20 19-2623 GARCIA, KRIEZL B. 12 RD3 SAN MIGUEL ST. BRGY MARULAS VALENZUELA - CITY - 6,046.20 6,046.20 2019-06-21 19-2624 VICENTE, FRANZ DANNIEL O. BRGY 97 CALOOCAN CITY - - 24,960.22 24,960.22 2019-06-21 19-2625 AQUINO, MARITES M. 1540-A RIZAL AVE. ST. BRGY 325 STA. CRUZ MANILA - - 16,552.59 16,552.59 2019-06-22 19-2626 IBARRA, ISAIAH C. B A4, L22 ST. BRGY MINUYAN 1 SAN JOSE DEL MONTE - BULACAN - 2,544.45 2,544.45 2019-06-21 19-2627 LAUD, MICO P. BRGY 203 TONDO MANILA - - 3,072.72 3,072.72 2019-06-21 19-2628 LINSANGAN, CRIS LORENCE B. BRGY 373 STA. CRUZ MANILA - - 8,769.33 8,769.33 2019-06-21 19-2629 AMIRELLA, CASSEY-MAY S. BRGY TANYAG CALINTAAN OCCIDENTAL MINDORO - - 9,810.36 9,810.36 2019-06-21 19-2630 BATAN, ZAIJAN RAM P. BRGY 63 CALOOCAN CITY - - 1,740.46 1,740.46 2019-06-21 19-2631 CONCEPCION, RYZEL CHLOUEI A. BRGY BAGONG BARRIO SAN IL DEFONSO BULACAN - - 59,345.50 59,345.50 2019-06-22 19-2632 BALDERAMA, VIRGINIA M. 56 CAMATCHILLE ROAD ST. BRGY POTRERO MALABON - - 10,407.99 10,407.99 2019-06-22 19-2633 ANG, CARMELITA S. BRGY TANDANG SORA QUEZON CITY - - 12,366.19 12,366.19 2019-06-21 19-2634 FLORES, CATHERINE KATE P. 1327 FELY ST. BRGY 123 TONDO MANILA - - 4,200.00 4,200.00 2019-06-28 19-2635 ABALOS, DHEE C. 1301 CM RECTO ST. BRGY 313 STA. CRUZ MANILA - - 840.00 840.00 2019-06-22 19-2636 JASTIVA, EFREN C. 176 DOROTEO NADRES ST. BRGY SAN ROQUE ZONE - 2 TAYABAS QUEZON - 29,772.02 29,772.02 2019-03-11 19-2637 FELICIDARIO, ARLENE B. 1482 JUAN LUNA ST. BRGY 60 TONDO MANILA - 530.00 - 530.00 2019-03-14 19-2638 RETIRO, MELINDEZ I. 99 GEN TIRONA ST. BRGY 145 BAGONG BARRIO CALOOCAN - CITY 1,575.00 - 1,575.00 2019-03-18 19-2639 MENDOZA, TERESITA G. BLK. 18 LOT. 11 TBC ST. BRGY BALONG BATO BALINTAWAK - QUEZON 1,235.00 CITY - 1,235.00 2019-03-19 19-2640 MENDEZ, MARITES B. BLK. C- 2A ST. BRGY NICOLASA BERATA GENERAL TRIAS - CAVITE 90.00 - 90.00 2019-03-21 19-2641 TOLOSA , FEDERICO S. 1875 AF. VARONA ST. BRGY 95, ZONE 8 TONDO MANILA - 650.00 - 650.00 2019-03-22 19-2642 AROJADO, TESSIE G. PUROK 6 HERNANDEZ ST. BRGY CATMON MALABON - CITY 350.00 - 350.00 2019-03-25 19-2643 GABOT, EVARISTA T. 668 RAJA MATANDA ST. BRGY 7 TONDO MANILA - 1,045.00 - 1,045.00 2019-03-25 19-2644 MAÑOSA, MICHAEL C. DAU ST. BRGY SAN JOSE MONTALBAN RIZAL - 500.00 - 500.00 2019-03-27 19-2645 TAN, AMPARO S. BRGY MANHAKAN MEYCAUAYAN BULACAN - 400.00 - 400.00 2019-03-28 19-2646 MARAMIAS, RODOLFO D. 1279 D. BAMBANG ST. BRGY 258 TONDO MANILA - 2,500.00 - 2,500.00 2019-03-28 19-2647 ENCALLADO, ERNESTO D. 1120 ESGUERRA ST. BRGY 733 SINGALONG, MALATE - MANILA 6,340.00 - 6,340.00 2019-03-28 19-2648 PEREZ, MARIA ROSY S. BRGY LICO SAN RAFAEL BULACAN - 11,800.00 - 11,800.00 2019-03-29 19-2649 GABALDON, JERRY J. 737 FAJARDO ST. BRGY 60 TONDO MANIL - 900.00 - 900.00 2019-03-28 19-2650 SEQUERRA, ROSARIO M. 600 FRANCISCO ST. BRGY 86 TONDO MANILA - 400.00 - 400.00 2019-04-03 19-2651 AGARIN, MARIA A. 904 OROQUIETA ST. BRGY 312 STA. CRUZ MANILA - 1,300.00 - 1,300.00 2019-04-03 19-2652 PRESCOTT, CARMELITA L. BLK3 LOT12 LEXBER ST. BRGY PIO CRUZCOSA CALUMPIT - BULACAN 1,235.00 - 1,235.00 2019-04-03 19-2653 GARCIA, FLORIDA G. 2001 VISAYAN AVE. COR. MASBATE ST. BRGY 567, ZONE - 55 SAMPALOC 2,500.00 MANILA - 2,500.00 2019-04-05 19-2654 PATEÑO, NELIA V. BLDG. 20 UNIT 311 VITAS KATUPARAN ST. BRGY 101 - TONDO MANILA 210.00 - 210.00 2019-04-05 19-2655 CRISOSTOMO, SHEILA V. REGOSO ST. BRGY SOLISOY MEYCAUAYAN BULACAN - 6,230.00 - 6,230.00 2019-04-05 19-2656 BACOLOD, JAYSON M. 860 INT. 9 ANAHAW ST. ST. BRGY BALINGHASA QUEZON - CITY 2,500.00 - 2,500.00 2019-04-29 19-2657 CHING, HENRY 658 H. LOPEZ BLDG NORTHBAY BRGY 147 TONDO MANILA - 7,920.00 - 7,920.00 2019-04-10 19-2658 CANTERAS, JUAN MIGUEL 33 GONZALES, MAHABANG PARANG ST. BRGY BIGNAY - VALENZUELA 7,340.00CITY - 7,340.00 2019-04-10 19-2659 DELA ROSA, EDUARDO S. 1805 A. RIVERA ST. ST. BRGY 234 TONDO MANILA - 740.00 - 740.00 2019-04-10 19-2660 LIPAR, JONJON S. 1812 PRUDENCIA ST. BRGY 55 TONDO MANILA - 530.00 - 530.00 2019-04-10 19-2661 MARANAN, LUCIA T. 011 QUIRINO ST. BRGY 119 TONDO MANILA - 7,340.00 - 7,340.00 2019-04-10 19-2662 CONCEPCION, RUBEN A. 1878 SULU ST. BRGY 341 STA. CRUZ MANILA - 530.00 - 530.00 2019-04-10 19-2663 ZAFE, MAGDALENA M. 183 F. BAUTISTA ST ST. BRGY MARULAS VALENZUELA - CITY 2,500.00 - 2,500.00 2019-04-10 19-2664 LUCERNA, RAFAEL JR O. 3384 POLICARPIO ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 1,045.00 - 1,045.00 2019-04-11 19-2665 DANGCULOS, ROSALYN R. 40 KATIPUNAN ST. BRGY BAYAN BAYANAN MALABON - CITY 2,280.00 - 2,280.00 2019-04-11 19-2666 MOMPIL, CARMELITA C. BLK14 LOT24 P2 AREA2 SITE8 ST. BRGY NBBS DAGAT-DAGATAN - NAVOTAS 1,235.00 CITY - 1,235.00 2019-04-11 19-2667 BEO, NENITA D. 69 A DEL MUNDO ST. BRGY 45 CALOOCAN CITY - 940.00 - 940.00 2019-04-15 19-2668 MAALA, ROMEO C. 1103 ST. BRGY PALTOC DEL MONTE AVE. QUEZON CITY - 925.00 - 925.00 2019-04-15 19-2669 ARIAS, MARIA CRISTINA D. 2002 JOSE ABAD SANTOS AVE ST. BRGY NONE TONDO - MANILA 620.00 - 620.00 2019-04-15 19-2670 SABIDO, EMMA M. 200 PACHECO ST. BRGY 67 TONDO MANILA - 1,685.00 - 1,685.00 2019-04-16 19-2671 LUCAÑAS, CORAZON B. 7 KAUNLARAN ST. BRGY MUZON MALABON CITY - 230.00 - 230.00 2019-04-16 19-2672 LUCAÑAS, CORAZON B. 7 KAUNLARAN ST. BRGY MUZON MALABON CITY - 640.00 - 640.00 2019-04-16 19-2673 DELA VEGA , DOROTEO P. 2802 MENDOZA ST. BRGY 182 GAGALANGIN, TONDO - MANILA 940.00 - 940.00 2019-04-16 19-2674 NATE, ANNALYN N. 1249 DINALUPIHAN ST ST. BRGY 206 TONDO MANILA - 650.00 - 650.00 2019-04-16 19-2675 SANGKOPAN, DATOJEDAM A. BRGY POBLACION TALAYAN MINDANAO - 1,685.00 - 1,685.00 2019-04-17 19-2676 BAE, BERNARD R. BLK.38 LOT 3 ST. BRGY 12 CALOOCAN CITY - 210.00 - 210.00 2019-04-17 19-2677 FLORENDO, ALFRED M. 142 DAGOT ST. BRGY MANRESA QUEZON CITY - 360.00 - 360.00

Page 44 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-04-17 19-2678 VENDIL , ALEXANDER P. 2770 G. SANTOS ST. BRGY 182 GAGALANGIN TONDO - MANILA 1,935.00 - 1,935.00 2019-04-24 19-2679 ABALOS, JORVIN A. 9 ARCADIO ST. BRGY 2 BISIG NG KABATAAN CALOOCAN - CITY 700.00 - 700.00 2019-04-24 19-2680 GOMEZ, FRANCE H. 2188 G. TUAZON ST. BRGY 561 SAMPALOC MANILA - 990.00 - 990.00 2019-04-26 19-2681 HERNANDEZ, ROSALINDA D. 27 TELECOM CMPD. TAMPOY 2 ST. BRGY MARULAS - VALENZUELA CITY 2,680.00 - 2,680.00 2019-04-26 19-2682 DIAZ, RIZALINA N. 72 QUIRINO ST. BARRIO MAGSAYSAY, TONDO MANILA - 1,270.00 - 1,270.00 2019-04-26 19-2683 LOPEZ, JOCELYN V. 196 N.S AMORANTO ST ST. BRGY SALVACION QUEZON - CITY 990.00 - 990.00 2019-04-29 19-2684 CADUGLA, ELEUTERIO B. 234 MAGSAYSAY ST. BRGY 112 TONDO MANILA - 1,080.00 - 1,080.00 2019-04-29 19-2685 BALANZAT, JENNIFER R. BLK 31 LOT 9 PUROK 12 ST. BRGY SAN MARTIN SAPANG - PALAY BULACAN 3,100.00 - 3,100.00 2019-04-30 19-2686 PANLILIO, ANGELA S. BLDG 26 UNIT 213 PERMANENT HOUSING ST. BRGY - 128 BALUT, TONDO 850.00 MANILA - 850.00 2019-04-30 19-2687 RAMIREZ, BERNARDINO C. 1527 F SORIANO ST. BRGY PALATIW PASIG CITY - 2,500.00 - 2,500.00 2019-04-30 19-2688 ACOSTA, NELIA L. 18 AGNESVILLE ST. BRGY MAMBUGAN ANTIPOLO - 5,580.00 - 5,580.00 2019-04-30 19-2689 GABRIEL, JELMY ANGELA B. 291 SITIO 6 ST. BRGY CATMON MALABON CITY - 530.00 - 530.00 2019-04-15 19-2690 SOLEDAD, NOEL 109 MAGTANGGOL ST. BRGY 29 CALOOCAN CITY - 7,340.00 - 7,340.00 2019-06-03 19-2691 LAURESTA, VERTHEENA DHEE L. 1754 C. M. NATIVIDAD ST. BRGY 337 STA. CRUZ MANILA - 640.00 - 640.00 2019-06-03 19-2692 BUYAO, ELIZABETH B. 1752 KALIMBAS ST. BRGY 338 STA. CRUZ MANILA - 5,105.00 - 5,105.00 2019-06-03 19-2693 ALMARIO, MARCELA D. 432 NEPOMUCENO ST. BRGY 94 TONDO MANILA - 5,105.00 - 5,105.00 2019-06-04 19-2694 ELECANAL, ROWENA 019 EVERLASTING ST. PAYATAS QUEZON CITY - 1,235.00 - 1,235.00 2019-06-04 19-2695 DEL PILAR, FLORIDA M. 401 VICENTE RODRIGUEZ ST. BRGY STA INES BULAKAN - BULACAN 5,105.00 - 5,105.00 2019-06-04 19-2696 TURTAL, ROWENA 4017 PECHAYAN BRGY 178 CAMARINES CALOOCAN - CITY 5,105.00 - 5,105.00 2019-06-04 19-2697 LUMBA, VIRGILIO P. 759 2ND AVENUE ST. BRGY 120 CALOOCAN CITY - 5,105.00 - 5,105.00 2019-06-04 19-2698 RAMOS, ROSSANA 337 MALIGAYA VILLAGE ST. PAJO, MEYCAUAYAN BULACAN - 5,105.00 - 5,105.00 2019-06-06 19-2699 DELOS SANTOS, ESTELITA M. 139 L NADURATA ST. BRGY 27 MAYPAJO CALOOCAN - CITY 1,235.00 - 1,235.00 2019-06-06 19-2700 GUTIERREZ, JOCELYN G. 503 SISA ST. BRGY TINAJEROS MALABON CITY - 5,105.00 - 5,105.00 2019-06-06 19-2701 BAUTISTA, MARCELO S. 18 SAN BEDA ST. BRGY BALON BATO QUEZON CITY - 5,105.00 - 5,105.00 2019-06-06 19-2702 Galeon, Melanie M. KCC VENTERDECK ST. BRGY NBBS KAUNLARAN NAVOTAS - 415.00 - 415.00 2019-06-06 19-2703 DOLLENDO, JOY M. 122 PUROK 1 ST. BRGY CALISON CALUMPIT BULACAN - 820.00 - 820.00 2019-06-07 19-2704 DELA CRUZ, FE B. 361 MARULAS A. ST. BRGY 36 1ST AVENUE CALOOCAN - CITY 5,105.00 - 5,105.00 2019-06-07 19-2705 RAULE, ZENAIDA 24 CAPOAS ST. BRGY MASAMBONG QUEZON CITY - 1,235.00 - 1,235.00 2019-06-07 19-2706 MAGAYAC, CLARITA A. 22 ARTEX AVE. ST. BRGY PANGHULO MALABON CITY - 5,105.00 - 5,105.00 2019-06-07 19-2707 YUCOT, MARICEL C. PUROK 4 ST. BRGY MAYSAN VALENZUELA CITY - 1,235.00 - 1,235.00 2019-06-10 19-2708 FADEROG, VANESSA MAE V. 27 CUROMI ST. BRGY MASAMBONG QUEZON CITY - 1,235.00 - 1,235.00 2019-06-10 19-2709 TABIOLO, SUSANA D. 163 PASTOR ST. BRGY 135 TONDO MANILA - 2,500.00 - 2,500.00 2019-06-10 19-2710 DE JESUS, ASHLEY VENICE D. 1139 INT 55 NEW ANTIPOLO ST. BRGY 6 TONDO MANILA - 960.00 - 960.00 2019-06-10 19-2711 PAGALILAUAN, MARY GRACE 24 KALACHUCHI ST ST. BRGY TANZA NAVOTAS CITY - 1,235.00 - 1,235.00 2019-06-10 19-2712 MAICO, RENESSA D. B17 L34 LUCAS CHUA ST. BRGY MUZON SAN JOSE DEL - MONTE BULACAN 1,235.00 - 1,235.00 2019-06-10 19-2713 PADERON, RUBY D. PHASE1 132 GOZON COMP ST. BRGY TONSUYA LETRE - ROAD MALABON 820.00 CITY - 820.00 2019-06-10 19-2714 JAVA, MARGIE S. 165 ST. STA. ANA ST. BRGY 117 MANILA - 1,235.00 - 1,235.00 2019-06-10 19-2715 MAGBANUA, ALICIA P. 1312 KALIMBA ST. BRGY 319 STA CRUZ MANILA - 1,045.00 - 1,045.00 2019-06-10 19-2716 IGNACIO, ROWENA BLK 11 EXTENSION BASECO MNAILA - 1,235.00 - 1,235.00 2019-06-10 19-2717 LOY, MARILYN N. 2755 PAULINO ST. BRGY 135 BALUT TONDO MANILA - 415.00 - 415.00 2019-06-10 19-2718 MIÑOZA, JIMMY F. 439 LITTLE BAGUI ST. ST. BRGY 180 AMPARO CALOOCAN - CITY 1,045.00 - 1,045.00 2019-06-10 19-2719 ISIDRO, MARLYN P. 1983 KATAMANAN ST. BRGY 222` TONDO MANILA - 1,235.00 - 1,235.00 2019-06-10 19-2720 COBRE, SALVE C. 38 3RD ST. BRGY WEST CRAME SAN JUAN CITY - 1,235.00 - 1,235.00 2019-06-10 19-2721 ABRENILLA, JUSTINIANA B. 150 MARFORI SUBD ST. BRGY SILANGAN CALAUAN LAGUNA - 1,235.00 - 1,235.00 2019-06-10 19-2722 ESPEÑA, MARILOU 16 C- H. GUMAMELA ST. BRGY SOUTH SIGNAL TAGUIG - 5,105.00 - 5,105.00 2019-06-10 19-2723 MALIWAT, EVALYN BLK 16 LOT 7 PHASE2A ST. BRGY KAUNLARAN VILLAGE - MALABON CITY 6,050.00 - 6,050.00 2019-06-11 19-2724 MADURA, MARIA VICTORIA C. 8 R MAGSAYSAY, TS CRUZ SUBD ST. BRGY SAN AGUSTIN - NOVALICHES 1,235.00 QUEZON CITY - 1,235.00 2019-06-11 19-2725 LLEMOS, LEILANI G. 1024 A. MARIANO ST. BRGY 33 CALOOCAN CITY - 415.00 - 415.00 2019-06-11 19-2726 CABRERA, CARINA C. 1482 F MA GUERRERO ST. BRGY 243 TONDO MANILA - 1,235.00 - 1,235.00 2019-06-11 19-2727 PADUA, AMELIA D. BLDG 14 ROOM 1 SOCIALIZED HOUSING ST. BRGY TANZA - NAVOTAS CITY 820.00 - 820.00 2019-06-11 19-2728 BONTIA, SONIA R. 1263 R. CENA SALMON ST. BRGY 8 DAGAT-DAGATAN - CALOOCAN CITY 5,105.00 - 5,105.00 2019-06-11 19-2729 DELA CRUZ, CHRISTIAN DAVE A. 1895 KAMAGONG ST. BRGY 165 BAGBAGUIN CALOOCAN - CITY 1,235.00 - 1,235.00 2019-06-11 19-2730 MAQUIO, SEVILLA S. 70 LANGKA ST. BRGY 142 BAGONG BARRIO CALOOCAN - CITY 5,105.00 - 5,105.00 2019-06-11 19-2731 CLEMENTE, MARITA R. B 22 L14 KAPALARAN ST. BRGY SAN ROQUE NAVOTAS - CITY 1,235.00 - 1,235.00 2019-06-13 19-2732 PEREZ, CASSEY CHRISTABEL LOUISEBLK R. 7 LOT 6 UNIT C TANGILE ST. BRGY MARIKINA HEIGHTS - NARIKINA 1,235.00 - 1,235.00 2019-06-13 19-2733 NAVERA, JOYCE V. 1078 KAPIT BISIG TEACHERS COMPOUND ST. BRGY -CAA LAS PIÑAS CITY 1,235.00 - 1,235.00 2019-06-13 19-2734 PASCUAL, VIVENCIO BRGY TARIBUBU TUANO CAGAYAM - 5,105.00 - 5,105.00 2019-06-14 19-2735 CASTILLO, AINY Z. 53 GUMAMELA EXT ST. BRGY GEN. T. DE LEON VALENZUELA - CITY 820.00 - 820.00 2019-06-14 19-2736 SALINAS, GLORIA H. 44 BALINGASA ST. BRGY BALINGASA BALINTAWAK QUEZON- CITY 820.00 - 820.00 2019-06-14 19-2737 TORRECAMPO, JUANITA 268 DIZON ST. BRGY 2 SANGANDAAN CALOOCAN CITY - 5,105.00 - 5,105.00 2019-06-14 19-2738 BOGNOT, ERICKA O. 5 APITONG ST. BRGY CAPRI NOVALICHES QUEZON CITY - 1,235.00 - 1,235.00

Page 45 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-06-14 19-2739 CURAN, OFELIA M. 8A NAGA ROAD ST. BRGY PULANG LUPA II LAS PIÑAS - CITY 5,105.00 - 5,105.00 2019-06-14 19-2740 RAMOS, CRISANTA 330 ST. BRGY BANGA 2ND PLARIDEL BULACAN - 5,105.00 - 5,105.00 2019-06-14 19-2741 RABUSA, PRIZEL J. 43 1ST ST. BRGY KARUHATAN VALENZUELA CITY - 5,105.00 - 5,105.00 2019-06-29 19-2742 ROLDAN, LOURDES B. 134 D ELECTRICAL ROAD ST. BRGY NONE PASAY CITY - - 13,379.63 13,379.63 2019-06-29 19-2743 CASAS, JENNIFER B. OCAMPO COMPUND ST. BRGY BURGOS RODRIGUEZ RIZAL- - 7,273.99 7,273.99 2019-06-29 19-2744 ALCERA, NENITA M. BLK. 7 LOT 17 RMS VILLE ST. BRGY GENTI DE LEON -UPPER TIBAGAN VALENZUELA - CITY 9,183.92 9,183.92 2019-06-26 19-2745 FEOLINO, WILMA L. 173 2ND ST. BRGY 114, ZONE 10 6TH AVENUE CALOOCAN - CITY - 22.64 22.64 2019-06-26 19-2746 CIATA, ROMELYN V. 55 REPARO ST. BRGY BAESA CALOOCAN CITY - - 11,153.50 11,153.50 2019-06-27 19-2747 FRAMIL, CHARITY J. SITIO BANTAY ST. BRGY TERESA RIZAL - - 93,730.81 93,730.81 2019-06-27 19-2748 SIBAYAN, MA. LYKA B. 319 PAGHANAPIN ST. BRGY 31 TONDO MANILA - - 146.17 146.17 2019-06-25 19-2749 CORDEL, DIANNE B. 769 PALAWAN ST. BRGY 508 SAMPALOC MANILA - - 3,033.22 3,033.22 2019-06-27 19-2750 BOMBITA, MARY ANN A. LUTUS BUKID ST. BRGY PANPAAN IV BACOOR CAVITE - - 1,897.86 1,897.86 2019-06-27 19-2751 CUYA, JOSEPHINE B. 41 ST. BRGY SITIO FATIMA PARAÑAQUE CITY - - 10,491.02 10,491.02 2019-07-22 19-2752 GOMEZ, LERMA N. BLK 13 LOT 11 SOTTO ST. CRYSANTHEMUM VILLAGE, - SAN PEDRO LAGUNA 243.75 - 243.75 2019-07-22 19-2753 PAMILOZA, MISCHELLE B. 2947-A ORANI ST. BRGY 208 TONDO MANILA - 1,080.00 - 1,080.00 2019-07-22 19-2754 RIVAS, JOEMIKE JR. P. 1 RIMAS ROAD ST. BRGY POTRERO MALABON CITY - - 2,350.00 2,350.00 2019-07-22 19-2755 ESPIRITU, KRUGER C. 25 C. SAN JOSE, DON BOSCO ST. BRGY 109 TONDO MANILA - - 1,060.00 1,060.00 2019-07-22 19-2756 MAMARIL, TEOFILO SR. D. 164 B3, KADIMA LETRE ROAD ST. BRGY TONSUYA MALABON - CITY 1,170.00 - 1,170.00 2019-07-22 19-2757 FORLAJE, NELSON S. 2608 LICO ST. BRGY 210 TONDO MANILA - - 2,350.00 2,350.00 2019-07-22 19-2758 MACARAEG, ROSEMARIE 16 MALLARI ST BRGY MALABON CITY 404.90 - - 404.90 2019-07-22 19-2759 ATENCIO, NICANOR III P. 83 TAGAYTAY ST. BRGY 130 CALOOCAN CITY - - 515.00 515.00 2019-07-22 19-2760 BALAO, GLENDA POBLACION CALAYAN CAGAYAN 18,135.00 - - 18,135.00 2019-07-23 19-2761 AUSTERO, ANNE SHIRLEY O. 695 INT 10 LAGUNA EXT ST. BRGY 152 GAGALANGIN, - TONDO MANILA 4,250.00 - 4,250.00 2019-07-23 19-2762 TERESITA VELASCO 1029 MA. LUISA ST. SAMPALOC MANILA - - 4,216.16 4,216.16 2019-07-23 19-2763 CUYA, JOSEPHINE B. 41 ST. BRGY SITIO FATIMA PARAÑAQUE CITY - 1,200.00 - 1,200.00 2019-07-23 19-2764 CABRERA, MARK ANTHONY C. BRGY MALAGASANG IMUS CAVITE - 1,125.00 - 1,125.00 2019-07-23 19-2765 TUD, VILMA S. BLDG 3- 422 ST. BRGY 128 BALUT, TONDO MANILA - 750.00 - 750.00 2019-07-23 19-2766 BALTAZAR, ALLAN JOHN F. 615 CALLIEJON CRUZ ST. BRGY BAGBAG NOVALICHES - QUEZON CITY 8,300.00 - 8,300.00 2019-07-23 19-2767 Feliciano, Emmalyn M. 1233 PUROK LALOMA ST. CAMARIN CALOOCAN CITY - 1,200.00 - 1,200.00 2019-07-23 19-2768 BUGNA, TERESA T. 1055 PREMERO DE MAYO SOLIS ST. BRGY 204 TONDO - MANILA 585.00 - 585.00 2019-07-12 19-2769 ALMOJELA, MIGUEL C. 2215 A. NARRA ST. COR. BATANGAS ST. BRGY 227 TONDO - MANILA - 8,299.71 8,299.71 2019-07-23 19-2770 ENRIQUEZ, ARVIN JUDE D. 64 INTANG ST. BRGY 155 BAGONG BARRIO CALOOCAN - CITY - 2,292.64 2,292.64 2019-07-23 19-2771 TORRES, JHENLENE MAY C. 1411 NICOLAS ZAMORA ST. BRGY 63 TONDO MANILA - - 340.00 340.00 2019-07-23 19-2772 CIRIA, JAYNARD ROME C. 440 PALMERA ST. BRGY 402 SAMPALOC MANILA - - 1,621.33 1,621.33 2019-07-23 19-2773 PANGILINAN, JIEN RIE CLOE J. 18 C. ARELLANO ST. BRGY SAN AGUSTIN MALABON - CITY - 515.10 515.10 2019-07-23 19-2774 JAY GASPAR 907 DELPAN ST. TONDO MANILA 809.80 - - 809.80 2019-07-23 19-2775 JUNIO, NIKKO JADE C. J. REYES ST. BRGY KARUHATANA VALENZUELA - - 397.50 397.50 2019-07-23 19-2776 MARTINEZ, CRISTINE C. 110 2ND ST. 4TH AVE GRACE PARK ST. BRGY 118 CALOOCAN - CITY - 5,410.23 5,410.23 2019-07-23 19-2777 AGATON, CLARITA I. 1409 E. QUINTOS ST. BRGY 499, ZONE 49 SAMPALOC 486.00 MANILA - - 486.00 2019-07-23 19-2778 YSAO, MARIA CRISTINA A. BLOCK 8 LOT 17 PH 1 AREA 14 ST. BRGY SAN RAFAEL - 1 SAN JOSE DEL 8,500.00 MONTE BULACAN - 8,500.00 2019-07-23 19-2779 AURELIO, JULIEAN MAE M. 188 LIBIS ESPINAS ST. BRGY 14 CALOOCAN CITY - - 3,361.65 3,361.65 2019-07-23 19-2780 DAGSA, EZEKIEL SAM R. 1336 GANA COMP. BALINTAWAK ST. BRGY UNANG SIGAW - QUEZON CITY - 612.36 612.36 2019-07-23 19-2781 MARIANO, LEONOR 482 SALAYSAY MEYCUAYAN BULACAN 20,000.00 - - 20,000.00 2019-07-23 19-2782 TADIFA, RADLEI ANN P. 481INT.B SAN JOSE ST. BRGY 425 SAMPALOC MANILA - 600.00 - 600.00 2019-07-23 19-2783 TOLEDO, JINKY M. ANNABU 1 A ST. IMUS CAVITE - - 1,945.85 1,945.85 2019-07-23 19-2784 MACALAM, PRINCE DANIEL T. ANNABU 1 A ST. BRGY NONE IMUS CAVITE - - 377.50 377.50 2019-07-23 19-2785 BALIGASA, JOLLYDAN M. LIBAS SITE, SAMPALOC 3 ST. BRGY BF HOMES PARAÑAQUE - - 559.06 559.06 2019-07-12 19-2786 DIGNO, DARIUS JINNEL P. BLK 6 LOT 20 GARDEN CITY 2 ST. BRGY MOLINO II BACOOR - CAVITE - 10,283.39 10,283.39 2019-07-23 19-2787 PLANDO, ERNESTO D. 1728 BAMBANG ST. BRGY 318 STA. CRUZ MANILA - - 402.87 402.87 2019-07-13 19-2788 MAGLALANG, BENITO L. 415 BALTAZAR ST. BRGY 66 10TH AVE. CALOOCAN CITY - - 1,510.15 1,510.15 2019-07-23 19-2789 BELARA, JOSELITO O. 1381 QUIRICADA ST. BRGY 331 STA. CRUZ MANILA - - 665.16 665.16 2019-07-23 19-2790 PANTI, ANTONETTE G. LOT 50 BLOCK 105 PHASE 7 CARISSA HOMES ST. BRGY - PUNTA UNO TANZA - CAVITE 694.90 694.90 2019-07-23 19-2791 TARCENA, ROCELYN A. 66 BURGOS ST. BRGY CONCEPCION MALABON CITY - 243.75 - 243.75 2019-07-23 19-2792 TARCENA, ROCELYN A. 66 BURGOS ST. BRGY CONCEPCION MALABON CITY - 243.75 - 243.75 2019-07-23 19-2793 NATIVIDAD, DAVE E. 1051 M. NATIVIDAD ST. BRGY 312 STA. CRUZ MANILA - - 570.00 570.00 2019-07-23 19-2794 CANAPI, JAYVEE C. 2137 STA. CECILLIA, BLK 2 ST. BRGY 102 TONDO MANILA - - 690.00 690.00 2019-07-23 19-2795 FRANCISCO, PRINCE JAY R. 475 BMBA, 2ND AVE ST. BRGY 120 CALOOCAN CITY - - 788.88 788.88 2019-07-23 19-2796 REYNALDO, HAROLD L. BRGY BAYANAN MUNTINLUPA CITY - - 5,682.55 5,682.55 2019-07-24 19-2797 CALARANAN, JAIME RODOLFO G. BRGY ANTIPO GAZAN MARINDUQUE - - 12,940.54 12,940.54 2019-07-24 19-2798 JULMAHA, JUSTINE A. BRGY SUUH PANAMAO SULU - - 4,743.46 4,743.46 2019-07-18 19-2799 LISING, ROLDAN O. 23-D BALABAD ST. BRGY BALINGASA QUEZON CITY - - 72,719.19 72,719.19

Page 46 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-21 19-2800 RAPIS, MARK FRANCIS R. 64 CAMIA ST. BRGY MAYSILO MALABON - - 14,420.41 14,420.41 2019-07-24 19-2801 ARRIOLA, ARYCHELLE L. 34 MABOLO ST. BRGY TATALON QUEZON CITY - - 6,385.51 6,385.51 2019-07-24 19-2802 STO. DOMINGO, AUDREY KLEA I. 1682 DOMINGO SANTIAGO ST. BRGY 581 SAMPALOC - MANILA - 1,887.41 1,887.41 2019-07-24 19-2803 GAMBA, ZYRUS A. BLOCK 27 LOT 29 ST. BRGY SALUD GMA CAVITE - - 1,558.71 1,558.71 2019-07-24 19-2804 FERNANDEZ, LEONORA B. PUROK 3 ST. BRGY MASOC BAYOMBONG NUEVA ECIJA - - 7,949.52 7,949.52 2019-07-24 19-2805 DELA CRUZ, AURORA C. 1415 CATLEYA ST. BRGY TABANG PLARIDEL BULACAN - - 9,853.29 9,853.29 2019-07-11 19-2806 ALCARAZ, ERNESTINA D. 505 DANDAN ST. BRGY 89 YANGCO, TONDO MANILA - - 584.96 584.96 2019-07-11 19-2807 CONJE, LORENZ 18 ADRIEL ST. BRGY NONE METROGATE COMPLEX, - MAIRLAO BULACAN - 892.12 892.12 2019-07-12 19-2808 NIEVERA, MARIA LYRA T. 18 SWITCH, MERALCO VILLAGE ST. BRGY LIAS MARILAO - - 25,028.92 25,028.92 2019-07-16 19-2809 SANCHEZ, NOLI P. BRGY CULIS HERMOSA BATAAN - - 10,000.00 10,000.00 2019-07-22 19-2810 RICAFORT, JULIA S. LOT 20 BLK 16 MALIGAYA PARK CALOOCAN CITY - 8,500.00 - 8,500.00 2019-07-02 19-2811 CACHERO, CARR BENEDICT A. 9096 INT.13, G. PERFECTO ST. BRGY 157 TONDO MANILA - 1,400.00 - 1,400.00 2019-07-02 19-2812 CAJAYON, ROMULFO M. 1913 DAGUPAN EXTENSION ST. BRGY 156 TONDO 3,120.00 MANILA - - 3,120.00 2019-07-02 19-2813 VIRAY, SHAYNE LORAINE C. 47 BAKAWAN ST ST. BRGY VETERANS VILL. QUEZON - CITY 1,400.00 - 1,400.00 2019-07-02 19-2814 CARAIG, MOISES B. BALAYAN ST. BRGY LANATAN BALAYAN BATANGAS 3,120.00 - - 3,120.00 2019-07-02 19-2815 UMALI, ALMARIO I. 1993 OLD TORRES ST. ST. BRGY 154 TONDO MANILA 3,120.00 - - 3,120.00 2019-07-02 19-2816 GURROBAT, CECILIA A. RM 102 B4 BLDNG. 6 DISCIPLINE VILL ST. BRGY. 3,120.00 BIGNAY VALAENZUELA - - 3,120.00 2019-07-05 19-2817 CASTILLO, MINERVA Z. 477 PILAPIL ST. BRGY 74 TONDO MANILA - 1,400.00 - 1,400.00 2019-07-05 19-2818 Estrada, Manuel Jr E. 115 R. SANTIAGO ST. 9TH AVE ST. BRGY NONE CALOOCAN - CITY 1,400.00 - 1,400.00 2019-07-05 19-2819 Estrada, Manuel Jr E. 115 R. SANTIAGO ST. 9TH AVE ST. BRGY NONE 3,120.00CALOOCAN CITY - - 3,120.00 2019-07-05 19-2820 REYES, DHENVER C. BLK 18 LOT 22 DOLMAR SUBDV ST. BRGY SAN VICENTE - STA MARIA BULACAN 1,400.00 - 1,400.00 2019-07-08 19-2821 BAUTISTA, FERNANDO C. KANLURAN ST. BRGY TIBIG SILANG CAVITE - 1,400.00 - 1,400.00 2019-07-08 19-2822 LAZO, LARRY E. 87 12TH AVE. ST. BRGY 88 GRACE PARK CALOOCAN 3,120.00 CITY - - 3,120.00 2019-07-08 19-2823 ARUTA, JHOMAR P. 456 CASTAÑAS ST. ST. BRGY 118 TONDO MANILA 3,120.00 - - 3,120.00 2019-07-08 19-2824 ILDEFONSO, MARIA NYMPHA R. BLK 25 LOT 16 LEGION 23 ST. BRGY CARSADANG BAGO - IMUS CAVITE 1,400.00 - 1,400.00 2019-07-09 19-2825 CACHERO, CARR BENEDICT A. 9096 INT.13, G. PERFECTO ST. BRGY 157 TONDO MANILA - 1,400.00 - 1,400.00 2019-07-09 19-2826 CARAIG, MOISES B. BALAYAN ST. BRGY LANATAN BALAYAN BATANGAS 3,120.00 - - 3,120.00 2019-07-09 19-2827 VIRAY, SHAYNE LORAINE C. 47 BAKAWAN ST ST. BRGY VETERANS VILL. QUEZON 3,120.00 CITY - - 3,120.00 2019-07-09 19-2828 VIRAY, SHAYNE LORAINE C. 47 BAKAWAN ST ST. BRGY VETERANS VILL. QUEZON - CITY 1,400.00 - 1,400.00 2019-07-24 19-2829 NONSOL, JASMIN BIEN 62 F. BALAGTAS BRGY. 143 CALOOCAN - - 530.00 530.00 2019-07-11 19-2830 JOSE, CARINA D. M. HIZON ST. BRGY 324 STA. CRUZ MANILA - - 60,566.62 60,566.62 2019-07-13 19-2831 JIMENEZ, FELICISIMA N. BRGY BINARITAN MORONG BATAAN - - 51,265.96 51,265.96 2019-07-23 19-2832 PALMA, JOHN ARVIN S. 750 PINA AVE ST. BRGY 581 SAMPALOC MANILA - - 3,130.09 3,130.09 2019-07-23 19-2833 GALVEZ, ESPERANZA P. 401 B INT36 PERLA ST. BRGY 121 TONDO MANILA - - 1,977.66 1,977.66 2019-07-24 19-2834 CAMOC, ANELYN S. 332 SILAHIS ST. BRGY 149 BAGONG BARRIO CALOOCAN - CITY - 1,115.00 1,115.00 2019-07-24 19-2835 RODASTE, ELLALEINE P. SITIO GULAYAN ST. BRGY CATMON MALABON CITY - - 1,433.60 1,433.60 2019-07-24 19-2836 MANALO, EUGENIO N. BLDG. 24, UNIT 321, PERMANENT HOUSING ST. BRGY - 128 TONDO MANILA - 1,264.93 1,264.93 2019-07-24 19-2837 CRISOSTOMO, JESEBEL T. 183 PAHATI ST. BRGY 138 TONDO MANILA - - 1,175.09 1,175.09 2019-07-24 19-2838 RESULTA, JEFERSON 203 HERNANDEZ ST. BRGY CATMON MALABON CITY - - 677.64 677.64 2019-07-24 19-2839 VINGNO, STEPHEN JAY D. 1430 DOROTEO JOSE ST. STA. CRUZ MANILA - - 787.22 787.22 2019-07-24 19-2840 SANTIAGO, ROLANDO D. 601VALDEZ COMP. ST. BRGY PASO DE BLAS VALENZUELA - CITY - 349.70 349.70 2019-07-24 19-2841 ELOPRE, JOHN CARL STEVHEN B. 523 BMBA ST. BRGY 120 GRACEPARK CALOOCAN CITY - 600.00 - 600.00 2019-07-24 19-2842 NEPOMUCENO, EDITHA C. 16 A SAN FRANCISCO ST. BRGY KARUHATAN VALENZUELA 3,324.00 CITY - - 3,324.00 2019-07-24 19-2843 riel, miguel B2 C30 ANTIQUE ST NOEL HOMES FRANCISCO BINAN - LAGUNA - 14,060.00 14,060.00 2019-07-24 19-2844 BORRENAGA, SUZETTE C. 1135 IIIB M. HIZON ST. BRGY 315 STA. CRUZ MANILA - 1,980.00 - 1,980.00 2019-07-24 19-2845 gonzales, cristina POBLACION PLARIDEL BULACAN 1,111.25 - - 1,111.25 2019-07-24 19-2846 GUTIERREZ, ENGRACIA P. 512 TAGAYTAY ST. BRGY 130 BARRIO SAN JOSE CALOOCAN - CITY - 940.00 940.00 2019-07-24 19-2847 TOLENTINO, ADELAIDA E. PUROK 2 ST. BRGY MALIGAYA PALAYAN CITY 3,324.00 - - 3,324.00 2019-07-24 19-2848 BERANA, DALIA L. JERONIMO ST. BRGY 9 CALOOCAN CITY - 1,500.00 - 1,500.00 2019-07-24 19-2849 ACEDERA, ALI MAVRICK B. PH4 PK1 LOT131 BLK7 ST. BRGY 176 BAGONG SILANG - CALOOCAN CITY 2,350.00 - 2,350.00 2019-07-24 19-2850 GALLON, MARILYN S. 369 NAVARRO ST. BRGY 92, ZONE 8 TONDO MANILA 500.90 - - 500.90 2019-07-24 19-2851 OBAMOS, ROBERT M. 1063 H DE JUNIO ST. BRGY 204 TONDO MANILA 528.00 - - 528.00 2019-07-24 19-2852 DEBBY VELASQUEZ PUROK BAGONG SITIO CAINGIN STA ROSA MANILA 10,000.00 - - 10,000.00 2019-07-24 19-2853 TANJAY, EDRIN D. 1697 LRC COMPOUND ST. BRGY 310 STA. CRUZ MANILA - - 1,115.00 1,115.00 2019-07-24 19-2854 BAYOG, JUDITH E. PH3, PKG3, B77, L4 ST. BRGY 176 BAGONG SILANG CALOOCAN - CITY 2,000.00 - 2,000.00 2019-07-24 19-2855 JOEY FLORENTINO BRGY. 83 CALOOCAN CITY 9,996.50 - - 9,996.50 2019-07-24 19-2856 LAXAMANA, FELIPE G. 1307 B. MAYHALIGUE ST. BRGY 264 TONDO MANILA - 675.00 - 675.00 2019-07-24 19-2857 LUDY, TERESITA M. PUROK 6 ST. BRGY SAN MARTIN 3 SAN JOSE DEL 171.60 MONTE CITY BULACAN - - 171.60 2019-07-24 19-2858 PAGADOR, ELEONER M. 65 MA.CLARA ST. BRGY 105 7TH AVE. CALOOCAN CITY - - 424.00 424.00 2019-07-24 19-2859 DELA CRUZ, FE B. 361 MARULAS A. ST. BRGY 36 1ST AVENUE CALOOCAN - CITY 2,000.00 - 2,000.00 2019-07-24 19-2860 SANTIAGO, EDWIN D. BRGY SAN MIGUEL HAGONOY BULACAN - - 7,608.52 7,608.52

Page 47 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-24 19-2861 MASANGKAY, EMELITA E. 1879 F.VARONA ST. BRGY 95 TONDO MANILA - - 274.40 274.40 2019-07-24 19-2862 SEGUBRE, ROMEO D. BLK30 LOT5 GEN ORDONEZ ST. ST. BRGY CONCEPCION 1,483.90 MARIKINA HEIGHT - MARIKINA CITY - 1,483.90 2019-07-24 19-2863 BAYOG, JUDITH E. PH3, PKG3, B77, L4 ST. BRGY 176 BAGONG SILANG CALOOCAN - CITY 2,000.00 - 2,000.00 2019-07-24 19-2864 CUSTODIO, SUSAN 1382 SISA ST SAMPALOC MANILA 9,972.00 - - 9,972.00 2019-07-24 19-2865 SALGARINO, GRETCHEN T. B20, L5-6, KAUNLARAN VILLAGE ST. BRGY NBBS NAVOTAS - CITY - 5,126.72 5,126.72 2019-07-24 19-2866 PANDACA, NAPISA S. BRGY POBLACION ROSARIO CAVITE - - 2,767.13 2,767.13 2019-07-24 19-2867 LAYOSA, MARIBEL L. 2221 ELIAS ST. BRGY 368 STA. CRUZ MANILA - - 3,051.24 3,051.24 2019-07-24 19-2868 IRINGAN, CLAIRE PINKY B. 3RD AVENUE ST. BRGY 118 GRACE PARK CALOOCAN - CITY - 1,342.31 1,342.31 2019-07-24 19-2869 CLEOFAS, FELINO JR B. 147 CLEOFER ST. BRGY 162 STA. QUITERIA CALOOCAN - CITY - 180.00 180.00 2019-07-24 19-2870 RIVERA, ZAYDEN HIRO L. 1626C HONRADEZ ST. BRGY 439 SAMPALOC MANILA - - 1,175.00 1,175.00 2019-07-24 19-2871 BERNARDO, JULIETA M. 2142 RODRIGUEZ ST ST. BRGY 130 TONDO MANILA - - 375.00 375.00 2019-07-24 19-2872 MACAPALLAG, ROSELLE P. 162 CLEOFER STA. QUITERIA ST. BRGY NONE CALOOCAN - CITY - 5,634.03 5,634.03 2019-07-24 19-2873 TAÑALAS, VILMA B. L4 B18 SAN GABRIEL, VILLA ESPAÑA 2 ST. BRGY TATALON - QUEZON CITY - 1,158.96 1,158.96 2019-07-24 19-2874 SANTIAGO, EMERLY E. BS 31 C2 CAPULONG ST. BRGY 108 TONDO MANILA - - 2,120.00 2,120.00 2019-07-24 19-2875 REYES, MARILYN P. 274 IMELDA ST. BRGY 108 TONDO MANILA - - 823.60 823.60 2019-07-24 19-2876 CASTRO, ALEXANDRA MAXINE 10 LR YANCO ST. BRGY NAVOTAS EAST NAVOTAS CITY - - 397.00 397.00 2019-07-24 19-2877 NAPOLES, DEREK LUCAS 1328 AH LACSON ST. BRGY 343 STA. CRUZ MANILA - - 2,350.00 2,350.00 2019-07-24 19-2878 BALANGKIT, EVANGELINE L. 49 MULAWINAN ST. BRGY LAWANG BATO QUEZON - CITY - 1,071.54 1,071.54 2019-07-25 19-2879 SAN ANTONIO, JOSELITO A. 1816 PRUDENCIA ST. BRGY 55 TONDO MANILA - - 631.00 631.00 2019-07-26 19-2880 REBUCAS, JULIOS A. 1016 BONBON ST. BRGY UGONG VALENZUELA CITY - - 25,870.68 25,870.68 2019-07-26 19-2881 fEDERIO, MARY ANN S. BMBA COMPOUND ST. BRGY 120 3RD AVENUE CALOOCAN - - 1,717.72 1,717.72 2019-07-26 19-2882 CAÑETE, MATEO P. B80 L47 POLICARPIO ST. BRGY BF RESORT LAS PIÑAS - CITY - 13,944.75 13,944.75 2019-07-26 19-2883 POTOT, RUBEN C. BRGY 649 PORT AREA,BASECO MANILA - - 10,414.15 10,414.15 2019-07-31 19-2884 SAMONTE, MARIETTA G. 387 LALLANA ST. BRGY 93 TONDO MANILA 546.50 - - 546.50 2019-07-03 19-2885 ORTIZ, CAROLYN L. 2412 LEONOR RIVERA ST. BRGY 369 STA. CRUZ MANILA - - 3,163.95 3,163.95 2019-07-03 19-2886 VALEROSO, CAROLINE B. 78 DAU ST. BRGY 115 6TH AVENUE CALOOCAN CITY - - 198.67 198.67 2019-07-03 19-2887 YGONIA, JOY P. 900 OROQUIETA ST ST. BRGY 312 STA. CRUZ MANILA - - 391.46 391.46 2019-07-03 19-2888 LEGAJE, MARIE JANE P. 2407-A KALIMBAS ST., BLUMENTRITT ST. BRGY 364 - STA. CRUZ MANILA - 56.66 56.66 2019-07-04 19-2889 SARIBA, JESSABEL V. BLK 11 LOT 6 LRT ST. BRGY GREGORIA GMA CAVITE - - 5,860.61 5,860.61 2019-07-04 19-2890 MISLANG, VIOLETA M. 136 DUNDUYAN EXTENSION ST. BRGY BATASAN HILLS - QUEZON CITY - 1,363.25 1,363.25 2019-07-04 19-2891 OCATE, FE T. BRGY BALUBAL SARIAYA QUEZON - - 83,012.94 83,012.94 2019-07-01 19-2892 RUFO, KYRIE IRVIN P. 459 ZP DE GUZMAN ST. BRGY 393 QUIAPO MANILA CITY - - 3,874.32 3,874.32 2019-07-01 19-2893 ALULOD, MICHELLE A. BRGY SINALJAN STA. ROSA LAGUNA - - 2,674.12 2,674.12 2019-07-01 19-2894 NAZARENO, MICHELLE A. 9 EVANGELISTA ST. BRGY SAN BARTOLOME NOVALICHES - QUEZON CITY - 542.69 542.69 2019-07-01 19-2895 DIMAILIG, MICHELLE N. 30 LUNAS ST. BRGY NS AMORANRTO LALOMA QUEZON - CITY - 7,074.63 7,074.63 2019-07-01 19-2896 HERNANDEZ, ABIGAEL M. 222 SAN BARTOLOME ST. BRGY NONE MAYPAJO CALOOCAN - CITY - 5,231.97 5,231.97 2019-07-01 19-2897 FEDERIO, MARY ANN S. 2601 DE JESUS ST. BRGY 836 PANDACAN MANILA - - 11,321.96 11,321.96 2019-07-02 19-2898 ORTUZAR, MICHELLE Z. PH2 BLK8 LOT12 ST. BRGY PITUGO NORZAGARAY BULACAN - - 561.88 561.88 2019-07-02 19-2899 ESPAÑOLA , GLORIA F. 209 BACOOR ST. BRGY ZAPOTE UNO CAVITE - - 6,568.12 6,568.12 2019-07-02 19-2900 TANTUAN, MA. VICTORIA C. 1607 INTERIOR 4 F. VARONA ST. BRGY 80 TONDO MANILA - - 687.93 687.93 2019-07-02 19-2901 LANDICHO, DIVINE T. 115 ARASITI ST. BRGY TINAJEROS MALABON CITY - - 2,026.33 2,026.33 2019-07-02 19-2902 DE MESA, BABY LANE D. 016 ROSAL, PHILCOA ST. BRGY OLD CAPITOL SITE DILIMAN - QUEZON CITY - 604.96 604.96 2019-07-02 19-2903 LENDIO, VANESSA B. 115 SAN PEDRO ST. BRGY 34 MAYPAJO CALOOCAN CITY - - 50.80 50.80 2019-07-02 19-2904 GALIMA, JOHNAFER M. BRGY BINTAWAN SUR VILLAVERDE NUEVA VISCAYA - - 3,639.11 3,639.11 2019-07-19 19-2905 NAVARRO, ROSALINDA S. 2239 V. SERRANO ST. BRGY 153 TONDO MANILA - - 488.34 488.34 2019-07-19 19-2906 SARMIENTO, RENZIE S. 298 MARCELA ST. BRGY 27 CALOOCAN CITY - - 2,183.68 2,183.68 2019-07-19 19-2907 CAÑAS, RAFFELYN JOY N. 1004 VERGARA ST. BRGY 385 QUIAPO MANILA - - 1,702.60 1,702.60 2019-07-19 19-2908 ABELON, EUGENIO B. 659 PNR SITE, FTI COMPOUND ST. BRGY WESTERN BICUTAN- TAGUIG CITY - 530.00 530.00 2019-07-19 19-2909 SOLIDUM, ARSENIA ROSALINA A. 28 GUIDO 4 ST. BRGY 33 MAYPAJO CALOOCAN CITY - - 4,199.74 4,199.74 2019-07-19 19-2910 LAMSEN, CESARIO 1174 WAGAS ST ST. BRGY 35 TONDO MANILA 6,942.00 - - 6,942.00 2019-07-19 19-2911 JAYLO, ROMULO A. 16 MAGSAYSAY ST. BRGY 120 TONDO MANILA - 720.00 - 720.00 2019-07-19 19-2912 ABELLO, ARTURO E. 252 AVOCADO ST. BRGY MANGGAHAN PASIG CITY 60.00 - - 60.00 2019-07-19 19-2913 GARCIA, VILMA T. 748 PAMPANGA ST. BRGY 161 TONDO MANILA 567.00 - - 567.00 2019-07-19 19-2914 GARCIA, VICTORINO R. 748 PAMPANGA ST. BRGY 161 TONDO MANILA 567.00 - - 567.00 2019-07-19 19-2915 CASTILLO, MINERVA Z. 477 PILAPIL ST. BRGY 74 TONDO MANILA - 1,400.00 - 1,400.00 2019-07-19 19-2916 JOAQUIN, ARMANDO A. BLK 3 LOT 11 G. PH 3 E1 DAGAT-DAGATAN ST. BRGY 455.35 12 CALOOCAN CITY - - 455.35 2019-07-19 19-2917 IQUIN, ANNA MARIE S. 1578 IMELDA ST. BRGY 108 TONDO MANILA - - 500.00 500.00 2019-07-19 19-2918 AFRICANO, ROMEO S. 101 NADURATA ST. BRGY 46 4TH AVE CALOOCAN 1,664.30 CITY - - 1,664.30 2019-07-19 19-2919 PANGANIBAN, YASMIN L. 32 ST. BRGY STA. ISABEL MALOLOS BULACAN - 1,200.00 - 1,200.00 2019-07-19 19-2920 MAGANA, HELEN S. 2701 LICO ST. BRGY 211 TONDO MANILA - 1,530.00 - 1,530.00 2019-07-19 19-2921 PERSONA, MA. VICTORIA S. 871 ST. BRGY ILANG-ILANG GUIGUINTO BULACAN - 1,200.00 - 1,200.00

Page 48 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-19 19-2922 BENITEZ, LOURELIE D. 3086 ASUNSION EXT ST. BRGY 70 TONDO MANILA - 2,400.00 - 2,400.00 2019-07-19 19-2923 PAYAO, JOVEN T. 2515 RADIUM ST. BRGY 775 SAN ANDRES BUKID 100.80 MANILA - - 100.80 2019-07-19 19-2924 RAMOS, MYRNA P. 1721 SAN LAZARO ST. BRGY 338 STA CRUZ MANILA 1,462.90 - - 1,462.90 2019-07-19 19-2925 VIRTUDAZO, ELENA B. BLK 81 INT65 TAMBUNTING ST. BRGY 373 STA CRUZ - MANILA - 2,350.00 2,350.00 2019-07-19 19-2926 PRIETO, MONINA G. BLK 2 AREA 2 ST. BRGY SAWATA CALOOCAN CALOOCAN 784.50 CITY - - 784.50 2019-07-19 19-2927 JAVIER, BOBBY P. 848 OROQUETTA ST. BRGY 310 STA. CRUZ MANILA - - 5,203.21 5,203.21 2019-07-19 19-2928 VALDEZ, ROMEO J. 188 SAPHIRE ST. BRGY 122 TONDO MANILA - 1,170.00 - 1,170.00 2019-07-19 19-2929 GAVIOLA, LUISITO JR R. 58 ANAK BAYAN ST., CORNER KUNDIMAN ST. BRGY 385.00 PALTOK QUEZON CITY - - 385.00 2019-07-19 19-2930 MANZANILLA, ELITA S. 456 DOMEZA ST. BRGY CANUMAY VALENZUELA CITY - - 1,101.01 1,101.01 2019-07-19 19-2931 LUAR, VIRGINIA O. 1233 STO. NIÑO ST. BRGY 43 TONDO MANILA 910.50 - - 910.50 2019-07-19 19-2932 SEVILLA, LETICIA A. 156 BUKLOD NG NAYON ST. BRGY 8 CALOOCAN CITY - - 530.00 530.00 2019-07-19 19-2933 MERCADO, GERARDO S. 151 ISAROG ST. BRGY PAANG BUNDOK LA LOMA 1,111.90 QUEZON CITY - - 1,111.90 2019-07-19 19-2934 MENDOZA, DANILO A. BRGY M. LUDLOD TAAL BATANGAS - - 18,269.68 18,269.68 2019-07-19 19-2935 TORRES, MARK ALADIN P. 183 P. SALVADOR ST. BRGY SAN ISIDRO RODRIGIUEZ - MONTALBAN, RIZAL 150.00 - 150.00 2019-07-19 19-2936 AGRAMON, ALDRICH KYLE -. B22 L15 PHASE 1- B ST. BRGY NBBS NAVOTAS CITY - 2,160.00 - 2,160.00 2019-07-19 19-2937 MANGULABNAN, NELIA L. 163 DIKE ST. BRGY POBLACION BALIWAG BULACAN 1,495.50 - - 1,495.50 2019-07-19 19-2938 BERNARDO, JULIETA M. 2142 RODRIGUEZ ST ST. BRGY 130 TONDO MANILA 553.50 - - 553.50 2019-07-19 19-2939 MARZAN, VIOLETA M. 222B H.DOMINGO ST. BRGY 80 SAN RAFAEL PASAY 1,810.15 CITY - - 1,810.15 2019-07-19 19-2940 GONZALES, FRANCISCA S. 196 BLK 4 SAN FELIPE ST. BRGY 104 TONDO MANILA 2,795.65 - - 2,795.65 2019-07-19 19-2941 ENION, ANDREA 197 BANAHAW EXTENSION, PUNTA ST. BRGY 900 1,759.50 STA. ANA MANILA - - 1,759.50 2019-07-19 19-2942 LEAL, JOCELYN A. 3 MALVAR ST. BRGY MANGGAHAN MABINI PASIG 504.00 CITY - - 504.00 2019-07-19 19-2943 MANGASIL, MARGARITA ELIZABETH443 O. NPC MENDEZ ST. BRGY BAESA QUEZON CITY 1,129.50 - - 1,129.50 2019-07-19 19-2944 BELEN, CARLOS A. 1017 METRICA ST. BRGY 504 SAMPALOC MANILA 60.00 - - 60.00 2019-07-19 19-2945 SANTOS, ROWENA D. BRGY TALIPLIP BULAKAN BULAKAN 6,984.00 - - 6,984.00 2019-07-19 19-2946 JIMENEZ, FELICISIMA N. BRGY BINARITAN MORONG BATAAN - 16,200.00 - 16,200.00 2019-07-19 19-2947 CHUA, ALFONSO A. 1779 KALAYAAN ST. BRGY 151 BAGONG BARRIO 147.00 CALOOCAN CITY - - 147.00 2019-07-19 19-2948 PASCUA, FLORDELIZA I. BRGY VILLA ROSE SAN GUILLERMO ISABELA 1,866.40 - - 1,866.40 2019-07-19 19-2949 Basilisco, Letty D. 1478 FUGOSO ST. BRGY 330 STA CRUZ MANILA 1,111.90 - - 1,111.90 2019-07-19 19-2950 MARQUEZ, LUZ A. BLK 4 LOT15 TORCILLO LANDASCA ST. BRGY 28 784.50DAGAT-DAGATAN CALOOCAN - CITY - 784.50 2019-07-19 19-2951 CRUZ, LORINA M. 27 B HEROES DEL 96 ST. BRGY 74 CALOOCAN CITY 819.00 - - 819.00 2019-07-19 19-2952 ARANIEGO, ROGELITO D. BLK 28 LOT 25 PH 3 F1 ST. BRGY 14 DAGAT DAGATAN - CALOOCAN CITY 1,060.00 - 1,060.00 2019-07-19 19-2953 ILAW, ROSEMARIE R. 79 E. SAN ANTONIO ST ST. BRGY SAN ANTONIO 3,324.00 - QUEZON CITY - 3,324.00 2019-07-19 19-2954 MABINI, FLORENCIO A. BLK. 3 LOT 21 CHESA ST. BRGY 118 MODERN COMMUNITY 485.55 TONDO MANILA - - 485.55 2019-07-19 19-2955 MABINI, FLORENCIO A. BLK. 3 LOT 21 CHESA ST. BRGY 118 MODERN COMMUNITY - TONDO MANILA 1,920.00 - 1,920.00 2019-07-19 19-2956 YAP, MANUEL L. 370 J. MENDEZ ST. BRGY TARTARO SAN MIGUEL BULACAN - 1,200.00 - 1,200.00 2019-07-19 19-2957 MORALES JR, JOSE A. B116, L8, KARANGALAN VILLAGE ST. BRGY SAN 1,690.50 ISIDRO CAINTA RIZAL - - 1,690.50 2019-07-19 19-2958 NONO, MANUEL M. 528 N. ZAMORA ST. BRGY 5 TONDO MANILA 850.50 - - 850.50 2019-07-19 19-2959 LACSON, BEVERLYN Q. 806 DALAG COMPOUND ST. BRGY 165 BAGBAGUIN CALOOCAN- 3,400.00 - 3,400.00 2019-07-19 19-2960 PECHAY, MARINA T. 338 ALTA VISTA ST. BRGY 160 BAESA CALOOCAN CITY - 1,440.00 - 1,440.00 2019-07-19 19-2961 PECHAY, MARINA T. 338 ALTA VISTA ST. BRGY 160 BAESA CALOOCAN 1,729.50 CITY - - 1,729.50 2019-07-19 19-2962 DELA CRUZ, ADORACION G. 16 A CALAVITE ANNEX ST. BRGY SALVACION LALOMA 30.00 QUEZON CITY - - 30.00 2019-07-19 19-2963 RIVERA, ROSEMARIE F. 1628 ANTONIO ST. BRGY 34 STA. CRUZ MANILA - 1,200.00 - 1,200.00 2019-07-19 19-2964 OPEDA, HARRY V. 1298 SAN SEBASTIAN ST. BRGY 117 TONDO MANILA - - 3,468.43 3,468.43 2019-07-19 19-2965 MEJIA, FABIAN A. BLK 72 LOT 19 NORTHVILLE II B ST. BRGY 171 BAGUMBONG - CALOOCAN 1,200.00 CITY - 1,200.00 2019-07-19 19-2966 PALMA, RODOLFO G. BLK 19 PUROK 5 D ST. BRGY STA RITA OLONGAPO 369.00 CITY ZAMBALES - - 369.00 2019-07-19 19-2967 PECHAY, LEONARDO L. 338 ALTA VISTA HOMES ST. BRGY 160 BAESA CALOOCAN 1,111.90 CITY - - 1,111.90 2019-07-19 19-2968 ESPINEDA, BELLA S. B45-L L22 SALMON ST. BRGY LONGOS MALABON CITY - 4,000.00 - 4,000.00 2019-07-19 19-2969 LIM, LEONCIO R. 51 CRISTOBAL ST. BRGY KARUHATAN VALENZUELA 523.96 CITY - - 523.96 2019-07-19 19-2970 MORENO, MARIDEL E. 356 INT. JULIAN FELIPE ST. BRGY 8, ZONE 2 CALOOCAN - CITY - 862.23 862.23 2019-07-19 19-2971 FONTILLAS, JOHN CARLO B. 4447 NPC ST. BRGY 168 BAGBAGUIN CALOOCAN CITY - - 2,120.00 2,120.00 2019-07-19 19-2972 ATOLE, BREYLONIE M. BRGY CACARONG BATA PANDI BULACAN - 2,253.00 - 2,253.00 2019-07-19 19-2973 DE JESUS, CORAZON M. 34 GIL PASCUAL ST. BRGY HULONG DUHAT MALABON - CITY 8,500.00 - 8,500.00 2019-07-19 19-2974 OLAIVAR, BELEN G. 1614 SAMPAGUITA ST. STA. CRUZ MANILA - 2,550.00 - 2,550.00 2019-07-19 19-2975 SERRANO, JOSE JR. G. B9 L43 LAPID VILL 2 ST. BRGY TAMBOBONG SAN 1,111.90 RAFAEL BULACAN - - 1,111.90 2019-07-19 19-2976 OCAMPO, GINA R. B3, L3, JAE PAMA COMPOUND ST. BRGY GEN. T. DE 733.20 LEON VALENZUELA - - 733.20 2019-07-19 19-2977 PECHAY, LEONARDO L. 338 ALTA VISTA HOMES ST. BRGY 160 BAESA CALOOCAN 949.50 CITY - - 949.50 2019-07-19 19-2978 TORRES, MARK ALADIN P. 183 P. SALVADOR ST. BRGY SAN ISIDRO RODRIGIUEZ 147.50 MONTALBAN, RIZAL - - 147.50 2019-07-19 19-2979 CARILLO, TERESA C. BRGY LAWA OBANDO BULACAN - 1,200.00 - 1,200.00 2019-07-19 19-2980 DELA CRUZ, ELIJAH ASHER -. BRGY STO TOMAS BIÑAN LAGUNA - - 46,073.55 46,073.55 2019-07-19 19-2981 REVILLA, MARIETA E. BLOCK 5 LOT 22 LE MOUBREZA SUBDIVISION ST. BRGY - SAN ANTONIO STO. - TOMAS BATANGAS 15,659.39 15,659.39 2019-07-19 19-2982 ESPINO, ARNEL O. 110 SOVIENTE ST. BRGY TUGATOG MEYCAUAYAN BULACAN - - 1,516.43 1,516.43

Page 49 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-19 19-2983 YSAO, MARIA CRISTINA A. BLOCK 8 LOT 17 PH 1 AREA 14 ST. BRGY SAN RAFAEL - 1 SAN JOSE DEL 2,500.00 MONTE BULACAN - 2,500.00 2019-07-19 19-2984 SANTOS, JAKE E. 619 P DANGANAN ST. BRGY 183 TONDO MANILA - - 639.21 639.21 2019-07-19 19-2985 DILA, NOEMI A. 1812 R. CALIMBAS ST. BRGY 341 STA. CRUZ MANILA - - 1,465.83 1,465.83 2019-07-19 19-2986 TACULOD, JENNY F. 1478 FUGOSO ST. BRGY 330 STA CRUZ MANILA 1,866.40 - - 1,866.40 2019-07-19 19-2987 ESPEDILLON , MOISES D. 1470 FUGOSO ST. BRGY 330 STA. CRUZ MANILA 1,866.40 - - 1,866.40 2019-07-19 19-2988 VILLEZA, VIRGINIA B. 492 ST. BRGY 82 TONDO MANILA - - 1,250.00 1,250.00 2019-07-19 19-2989 DOROIN, JERSON S. BRGY F. MALLA GMA CAVITE - 325.00 - 325.00 2019-07-19 19-2990 BERNARDO, JEREMY L. 237 DULO ST. BRGY ABANGAN SUR MA. RAMOS, MARILAO - BULACAN - 4,383.31 4,383.31 2019-07-19 19-2991 RUIZ, IGAD M. BRGY MENDEZ CROSSING EAST TAGAYTAY CITY - - 2,035.00 2,035.00 2019-07-19 19-2992 HESHAN, MARY GRACE P. 1470 FUGOSO ST. BRGY 330 STA. CRUZ MANILA 1,128.80 - - 1,128.80 2019-07-19 19-2993 DE GUZMAN, EDITHA T. 949 CEBU ST. BRGY 558 SAMPALOC MANILA 920.90 - - 920.90 2019-07-19 19-2994 ORTIZ, EMMANUEL J. BLK 12 LOT 28 PH2D HILLS SUBD ST. - BRGY SAN JOSE RODRIGUEZ - RIZAL 3,830.18 3,830.18 2019-07-19 19-2995 GAMBA, MARK PHILIP V. BLK 1 LOT 47 ST. BRGY GREGORIA DE JESUS GMA CAVITE - - 577.62 577.62 2019-07-19 19-2996 ABRIGOSO, NORALYN C. BLK 8 LOT13 SEC 7 BAGTAS ST. BRGY PABAHAY TANZA - CAVITE CITY - 1,919.21 1,919.21 2019-07-19 19-2997 VILLANUEVA, RENZ STEPHEN A. 1308 ANTONIO ST. BRGY 342 STA CRUZ MANILA - - 4,771.09 4,771.09 2019-07-19 19-2998 DUBAS, MICHAEL C. BRGY TABAN MINALABAC CAMARINES SUR - - 4,605.36 4,605.36 2019-07-19 19-2999 ADVENTO, GLENDA M. LOT 2 BLK. 5 SITIO PHILIPS, PHILIPS ST. BRGY MOONWALK - EXT. MULTINATIONAL - VILL. PARAÑAQUE13,737.01 CITY 13,737.01 2019-07-19 19-3000 ASUNCION, CIPRIANU C. 35 A AREA 3 FANTIL ST. BRGY BAGONG SILANGAN QUEZON - CITY - 530.00 530.00 2019-07-19 19-3001 LAMSIN, KHATELY ALLEN M. PNR COMPOUND ST. MAYPAJO CALOOCAN CITY - - 1,048.20 1,048.20 2019-07-19 19-3002 TABASA, MARY JANE N. 719 LIBIS BAESA ST. BRGY 160 CALOOCAN CITY - - 2,298.53 2,298.53 2019-07-19 19-3003 ACEVEDA, RHODORA V. BLOCK 6 LOT 37 MAGSAYSAY EXTENSION ST. BRGY SAN- AGUSTIN MALABON - CITY 18,461.13 18,461.13 2019-07-19 19-3004 LOPEZ, MARIA LOLITA A. OROQUETA ST. STA. CRUZ MANILA - - 1,379.63 1,379.63 2019-07-18 19-3005 TOLENTINO, GAVIN ELIJAH V. 50 MARIVELES ST. BRGY STA. TERESITA QUEZON CITY - - 2,855.00 2,855.00 2019-07-19 19-3006 ESPIRITU, ARNOLD B. 25 C SAN JOSE DON BOSCO ST. BRGY 107 TONDO MANILA - - 688.20 688.20 2019-07-19 19-3007 SEVILLANO, CAMILLE C. BLK 7 LOT 3 BUWAN BUWAN ST. BRGY NBBS DAGAT-DAGATAN 429.00 NAVOTAS - CITY - 429.00 2019-07-19 19-3008 BASCO, CZARENE LIANNE A. OROQUETA ST. BRGY 371 STA. CRUZ MANILA - - 500.00 500.00 2019-07-19 19-3009 MANALO, JOHN YVAN CHRISTOPHER1458 A. LOPE DE VEGA ST. BRGY 312 STA. CRUZ MANILA - - 530.00 530.00 2019-07-19 19-3010 PENETRANTE, MARILOU M. B25, L3, SALMON ST. BRGY 8 DAGAT- DAGATAN CALOOCAN910.50 CITY - - 910.50 2019-07-19 19-3011 LEYTE, LIGAYA C. BLK 6 LOT 25 BEVERLY HOMES ST. BRGY PRENZA 910.50 II MARILAO BULACAN - - 910.50 2019-07-19 19-3012 LEYTE, ROMANO C. PHASE 2 BLK 14 LOT 5 BEVERLY HOMES ST. BRGY 910.50 PRENZA II MARILAO BULACAN - - 910.50 2019-07-19 19-3013 ABLAZA, BRENT AIKEN R. 1637 OESTE ALVAREZ ST. BRGY 267 TONDO MANILA - - 720.00 720.00 2019-07-19 19-3014 VERGARA, MAXINE B. 1915 CAPULONG ST. BRGY 151 TONDO MANILA - - 2,710.00 2,710.00 2019-07-19 19-3015 GARCIA, VALERIE N. 1049 DAGUPAN ST. BRGY 48 TONDO MANILA - - 1,060.00 1,060.00 2019-07-19 19-3016 ANTONIO, KATHLEEN CAMILLE R.4 TENDIDO ST. BRGY SAN JOSE QUEZON CITY - - 1,158.74 1,158.74 2019-07-19 19-3017 LIMBAGA, WIGBERTO A. 913 VALDEZ ST. BRGY 559 SAMPALOC MANILA - - 339.62 339.62 2019-07-19 19-3018 JAVIER, SIMON 68 B. CASEÑAS ST. BRGY TANZA NAVOTAS CITY - - 1,060.00 1,060.00 2019-07-19 19-3019 MENDIOLA, MARLUZ BRGY POBLACION BURDEOS QUEZON 9,152.00 - - 9,152.00 2019-07-19 19-3020 DOMINGO, ROSEMARIE B2 L 11 PH 3 ASSUMPTION VILLE LINGUNAN VAL 1,994.25 .CITY - - 1,994.25 2019-07-19 19-3021 MARASIGAN, MARY JEAN 67 ZORRA CABOTAJE SJDM QUEZON CITY 10,000.00 - - 10,000.00 2019-07-19 19-3022 GACILA, DIBENSON BLK 17 L17 RAFAELA HOMES MAKINABANGH BALIUAG - BULACAN - 81,000.00 81,000.00 2019-07-19 19-3023 DUNGO JR, SEBASTIAN 0523 ST ROSARIO PANGA MENOR BUSHTOS BULACAN - - 10,343.95 10,343.95 2019-07-19 19-3024 CALUAG, RAMON 2528 S DEL ROSARIO ST GAGALANGIN TONDO MANILA - - 50,000.00 50,000.00 2019-07-19 19-3025 TARRIELA, MA.DOLORES 37 WALING WALING ST , ROXAS DIST QUEZON CITY - - 10,000.00 10,000.00 2019-07-19 19-3026 MERILO, IRVIN JAN BLK 13 L 1 ST BRGY PASONG PUTIK QUEZON CITY - - 10,000.00 10,000.00 2019-07-24 19-3027 TABOR, KHRISTEL HEART A. PH1 B12 L20 ST. BRGY BAGONG BARRIO PANDI BULACAN - - 361.60 361.60 2019-07-30 19-3028 BARTOLAY, GWYNETH I. 28 MAGSAYSAY ST. BRGY SAN AGUSTIN MALABON CITY - - 18,051.96 18,051.96 2019-07-16 19-3029 PACION, ANTONINO D. BRGY CALUBCOB NAIC CAVITE - - 13,217.56 13,217.56 2019-07-16 19-3030 LORESCA, NEMECIO M. BRGY SAN JOSE SANTO TOMAS BATANGAS - - 502.87 502.87 2019-07-30 19-3031 PABUSTAN, VILLA M. 5002 NORTH ROAD RAMINEL SUBD. ST. BRGY VIENTERIALES - VALENZUELA - CITY 7,181.49 7,181.49 2019-07-17 19-3032 UY, ANGEL 115 MALUGAY ZONE 5B ST. BRGY SAN MARTIN DE PORRES - PARAÑAQUE CITY - 2,917.16 2,917.16 2019-07-30 19-3033 DEL ROSARIO, JOEL L. BRGY 59 CALOOCAN CITY - - 4,866.94 4,866.94 2019-07-16 19-3034 SORIANO, EDRIAN N. 3114 GUMAMELA EXT ST. BRGY GEN T DE LEON VALENZUELA - CITY - 7,304.50 7,304.50 2019-07-30 19-3035 RIVERA, GEYB XANDREI S. ARAW ST. BRGY BASI WEST SOLANA CAGAYAN VALLEY - - 265.89 265.89 2019-07-18 19-3036 SERVANDIL, SUNNY G. PUROK 2 ST. BRGY MATAMBOG SAN JOAQUIN ILO ILO - - 5,433.55 5,433.55 2019-07-30 19-3037 GERONIMO, LEOPOLDO C. 344 ST. BRGY LIGAS III BACOOR CAVITE - - 240.63 240.63 2019-07-30 19-3038 DELA CRUZ, LORENZA F. BRGY TIGBI NORZAGARAY BULACAN - - 10,760.09 10,760.09 2019-07-19 19-3039 AGNO, ANA B. 1338 LOYOLA ST. BRGY 459 SAMPALOC MANILA - - 4,879.01 4,879.01 2019-07-31 19-3040 FAIGMANI, VIRGINIA D. 937 BETINA ST ST. BRGY 574 SAMPALOC MANILA 891.00 - - 891.00 2019-07-16 19-3041 FERNANDEZ, BAYANI V. 1336 CALIMBAS ST. BRGY 319 STA CRUZ MANILA 8,676.10 - - 8,676.10 2019-07-14 19-3042 TABORA, JOSE C. 3 ST. BRGY STO. CRISTO ANGAT BULACAN - - 4,189.17 4,189.17 2019-07-14 19-3043 VILLAMIL, EDUARDO H. 053 PINE AVENUE, VILLA MONTEVERDE SUBD. ST. BRGY - NAGBALON MARILAO - BULACAN 17,981.46 17,981.46

Page 50 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-06 19-3044 BALEÑA, EDWIN L. AREA HEAVEN GK COMPOUND HAPILAN ST. BRGY 105 - TONDO MANILA - 10,617.63 10,617.63 2019-07-13 19-3045 CHUA, ADRIAN H. 15 URSUA ST. ST. BRGY 1 SANGANDAAN CALOOCAN - CITY - 54,148.77 54,148.77 2019-07-13 19-3046 EBO, LILIA G. LOWER LAONG ST. BRGY ALMANZA UNO LAS PIÑAS - CITY - 39,683.22 39,683.22 2019-07-11 19-3047 DIAZ, RODANTE C. PHASE 4 ST. BRGY MILAGROSA CARMONA CAVITE - - 94,053.53 94,053.53 2019-07-11 19-3048 DE GUZMAN, ARTEMIO D. 29 ST. BRGY SORIANO SAN CARLOS PANGASINAN - - 34,415.44 34,415.44 2019-07-11 19-3049 EVANGELIO, EDGARDO V. 1770 MIGUELIN ST. BRGY 487, ZONE 48 SAMPALOC - MANILA - 41,158.57 41,158.57 2019-07-15 19-3050 JIZ DE ORTEGA, JOVITO M. 1591 OSTE ALVAREZ EXT. ST. BRGY 267 TONDO MANILA - - 164.12 164.12 2019-07-15 19-3051 ARROGANTE, MARY CRIS A. 1619 DAGUPAN ST ST. BRGY 52 TONDO MANILA - - 19,346.74 19,346.74 2019-07-17 19-3052 ABELLA, ANSWERELLE KYLE M. 189 BAUTISTA ST. BRGY BAYANAN MUNTINLUPA CITY - - 2,362.22 2,362.22 2019-07-12 19-3053 DIAZ, RODANTE C. PHASE 4 ST. BRGY MILAGROSA CARMONA CAVITE - - 94,089.53 94,089.53 2019-07-02 19-3054 JOSE MAGGUIDANG 22 L . F BRGY PAG IBIG BALINTAWAK 2,743.50 - - 2,743.50 2019-07-02 19-3055 tojao, hannah AA LAS PINAS CITY 4,934.80 - - 4,934.80 2019-07-07 19-3056 SALONGA, JOANNA MILES B. 349 F FRANCISCO ST. BRGY PARADA VALENZUELA - - 4,506.68 4,506.68 2019-07-07 19-3057 OROT, MARY JANE L. BLK8 SAWATA ST. BRGY 35 DAGAT-DAGATAN CALOOCAN - CITY - 2,216.49 2,216.49 2019-07-07 19-3058 ANOS, ROSALIE R. STA ISABEL ST. BRGY GULOD QUEZON CITY - - 612.17 612.17 2019-07-07 19-3059 PARAISO, ROWENA F. 14 AGUDO ST. ST. BRGY SAN JOSE QUEZON CITY - - 6,055.85 6,055.85 2019-07-07 19-3060 CHUA, SHENA S. 464 R.PAPA ST. BRGY 464 SAMPALOC MANILA - - 1,189.05 1,189.05 2019-07-08 19-3061 ANORE, EMERLYN JOY E. PUROK 4 IBABA ST. BRGY SINALHAN STA. ROSA LAGUNA - - 2,197.46 2,197.46 2019-07-08 19-3062 HERNANDEZ, JEAN ROSE L. 233 BMBA 4TH AVENUE ST. BRGY 118 GRACE PARK - CALOOCAN CITY - 571.88 571.88 2019-07-08 19-3063 GAUDARIO, ALICIA B. BRGY 375 STA. CRUZ MANILA - - 18.07 18.07 2019-07-08 19-3064 DE GUZMAN, MONALISA D. 1262 MA. CRISTINA ST. BRGY 489 SAMPALOC MANILA - - 358.08 358.08 2019-07-08 19-3065 MOLENILLA, VANESSA MAE M. 753 INTERIOR 24 RAXA BAGO ST. BRGY 160 TONDO - MANILA - 3,529.81 3,529.81 2019-07-09 19-3066 ABAN, ERLINDA C. 749 F. CAYCO ST. BRGY 457 SAMPALOC MANILA - - 80,244.29 80,244.29 2019-07-09 19-3067 ESPINA, ALICIA E. 2554 FELIZ HUERTAS ST. BRGY 367 STA. CRUZ MANILA - - 1,449.54 1,449.54 2019-07-09 19-3068 GARGANTA, ELIZABETH B. BLK 74 LOT 12 KAWAL PUROK 2 ST. BRGY 28 CALOOCAN - CITY - 240.44 240.44 2019-07-09 19-3069 BATINGA, DIANNA JOY 143 CHUKANG ST. BRGY TANZA NAVOTAS CITY - - 658.03 658.03 2019-07-09 19-3070 TE, MERLITA D. 163 BMBA 3RD AVE. ST. BRGY 118 CALOOCAN CITY - - 262.44 262.44 2019-07-12 19-3071 SILVA, CRISELDA V. BRGY IBA SILANG CAVITE 9,230.00 - - 9,230.00 2019-07-18 19-3072 SILVA, ANAMIE L. BRGY MERVILLE PASAY CITY - - 12,570.80 12,570.80 2019-07-14 19-3073 PAREÑO , ALVIN C. BRGY BUNLO BOCAUE BULACAN - - 58,878.31 58,878.31 2019-07-02 19-3074 CRUZ, ELVIS J. 437 PACHECO ST TONDO MANILA 404.90 - - 404.90 2019-07-16 19-3075 BALDOS, ROLLY C. 1219 TELECOM COMP ST. BRGY KARUHATAN VALENZUELA 163.80 CITY - - 163.80 2019-07-17 19-3076 LABOLERA, NAITHAN G. 555 PERALTA ST., GAGALANGIN ST. BRGY 182 TONDO - MANILA - 2,350.00 2,350.00 2019-07-17 19-3077 ALEJANDRINO, LEONORA M. 1722 ALVAREZ ST. BRGY 317 STA. CRUZ MANILA 98.70 - - 98.70 2019-07-19 19-3078 ZUNIEGA, HILARION V. 319 BAGONG NAYON ST. BRGY BAGBAGUIN VALENZUELA - CITY 2,400.00 - 2,400.00 2019-07-15 19-3079 AURA, ALICIA J. BLK 15, LOT 41, F REYES ST. BRGY SAN JOSE GMA CAVITE - - 3,572.14 3,572.14 2019-07-22 19-3080 MERCADO, SARAH A. BRGY SAN JOSE CATUBIG NORTHERN SAMAR - 1,700.00 - 1,700.00 2019-07-22 19-3081 DELA CRUZ, LOLITA B. 778 B95 L2 KAWAL PUROK 4 ST. BRGY 28 DAGAT DAGATAN - CALOOCAN CITY - 1,220.80 1,220.80 2019-07-22 19-3082 ECARUAN, NICOLE E. BRGY UACON CANDELARIA ZAMBALES - - 6,000.00 6,000.00 2019-07-22 19-3083 CANLAS, ROSIE S. 3215 RIZAL AVE. EXT. ST. BRGY 202 TONDO MANILA - - 2,446.66 2,446.66 2019-07-22 19-3084 CALLENIRO, MILENE D. ALVAREZ 1389 ST. TONDO MANILA - - 1,083.83 1,083.83 2019-07-22 19-3085 CASTILLO, JUSTIN C. 1390 ALVAREZ EXT. ST. TONDO MANILA - - 340.00 340.00 2019-07-22 19-3086 CATACUTAN, SHEILA V. 214 SOFIA ST. BRGY 136 TONDO MANILA - 1,200.00 - 1,200.00 2019-07-22 19-3087 TIRADO, EDWARD R. 2229 VISION ST. BRGY 351 STA. CRUZ MANILA - - 257.50 257.50 2019-07-22 19-3088 SARMIENTO, ROSALINDA R. 428 MARULAS A ST. BRGY 36 CALOOCAN CITY - - 1,559.35 1,559.35 2019-07-22 19-3089 CUYA, JOSEPHINE B. 41 ST. BRGY SITIO FATIMA PARAÑAQUE CITY - - 1,514.48 1,514.48 2019-07-29 19-3090 GATCHALIAN, LEOPOLDO L. 1778 NEW ANTIPOLO ST. BRGY 349 STA. CRUZ MANILA - - 2,120.00 2,120.00 2019-07-15 19-3091 BULADO JR., PAQUITO R. 1208 TAGUMPAY ST. BRGY 38 TONDO MANILA - - 5,076.57 5,076.57 2019-07-15 19-3092 DIMANO, ALFREDO D. PUROK 2, ISLA PUTING BATO ST. BRGY 20 TONDO MANILA - - 6,820.63 6,820.63 2019-07-15 19-3093 DOBLA, JAYCEE G. RAYA GARDEN ST. BRGY MERVILLE PARAÑAQUE CITY - - 9,422.93 9,422.93 2019-07-15 19-3094 VILLAR, SHELADEL 413 M.H. DEL PILAR ST. BRGY MALANDAY VALENZUELA - - 54,988.23 54,988.23 2019-07-15 19-3095 BIDBID, ANGELICA D. BRGY CASTAÑOS LEHOS GENERAL EMILIO AGUINALDO - CAVITE - 8,929.31 8,929.31 2019-07-11 19-3096 TABAYAN, JAYRON V. BRGY CAROSALESAN UMINGAN PANGASINAN 2,926.00 - - 2,926.00 2019-07-19 19-3097 CAMPOS, MICHELLE B. 69 SAN ILDEFONSO ST. BRGY NAGKAISANG NAYON NOVALICHES- QUEZON 50,000.00 CITY - 50,000.00 2019-07-02 19-3098 UBALUBAO, JENELYN R. 19 DALTON ST. BRGY HOLY SPIRIT QUEZON CITY - - 151.92 151.92 2019-07-02 19-3099 BARDAJE, ELLA MAE M. 0637 2ND AVE. ST. BRGY 120 GRACE PARK CALOOCAN - CITY - 20,740.96 20,740.96 2019-07-03 19-3100 REMOLACIO, MARILOU C. 61 QUIRINO, PUROK 4 ST. BRGY LANDAYAN SAN PEDRO - LAGUNA - 325.50 325.50 2019-07-02 19-3101 PICARDAL, ELMA M. 3203 MOLAVE EXTENSION, BARRIO OBRERO ST. BRGY - 195 TONDO MANILA - 357.07 357.07 2019-07-05 19-3102 BABIANO, ROCHELLE B. 2490 B. GIDEON ST. BRGY NONE LIBERTAN PASAY - - 2,518.78 2,518.78 2019-07-06 19-3103 FLORES, NELIA R. UPPER MAPAYAPA ST. BRGY DELA PAZ ANTIPOLO RIZAL - - 9,488.38 9,488.38 2019-07-05 19-3104 BALIDO, JOY C. SAN ANTONIO CABESERIA ST. BRGY 9/11 ILAGAN ISABELA - - 32,706.01 32,706.01

Page 51 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-06 19-3105 CAYARIAN, VIRGINIA M. J. RICAFRENTE ST. BRGY LIGTONG IV ROSARIO CAVITE - CITY - 31,389.05 31,389.05 2019-07-06 19-3106 HERMIDA, RUBY M. BLK 1 DREAMLAND PUROK 6 HERNANDEZ ST. BRGY - CATMON MALABON CITY- 3,430.70 3,430.70 2019-07-06 19-3107 SALONOY, MARGARITA L. PHASE 7-B PACKAGE 1 BLOCK 57 LOT EXCESS ST. BRGY - 176 BAGONG SILANG - CALOOCAN CITY 2,700.58 2,700.58 2019-07-06 19-3108 GUARIN, JASMIN M. 128 L. BUSTAMANTE ST. BRGY 88 CALOOCAN CITY - - 9,512.81 9,512.81 2019-07-05 19-3109 SORIANO, DESIREE M. 742 NENITA GAGALANGIN ST. BRGY 185 TONDO MANILA - - 1,355.18 1,355.18 2019-07-05 19-3110 DELA CRUZ, ANGELICA H. 71 MARIANO PONCE ST. BRGY 132 BAGONG BARRIO - CALOOCAN CITY - 268.47 268.47 2019-07-05 19-3111 CARREON, MARVIC L. 1716 C. AGUILA ST. BRGY 637 SAN MIGUEL MANILA - - 551.09 551.09 2019-07-05 19-3112 CAAYON, JEANEFER G. 1928 IMMACULADA ST. BRGY 232 TONDO MANILA - - 1,152.53 1,152.53 2019-07-05 19-3113 LIMBO, AIRA V. 1203 ST. BRGY IPAG MARIVELES BATAAN - - 1,296.64 1,296.64 2019-07-26 19-3114 ECHON, MARIA MEDALYN I. 103-B NATIVIDAD ST. BRGY 81 CALOOCAN CITY - - 1,094.76 1,094.76 2019-07-26 19-3115 LAZARO, NYMPHA A. 139 HALCON ST. BRGY SAN ISIDRO LA LOMA QUEZON - CITY - 1,654.14 1,654.14 2019-07-27 19-3116 USI, MA. CHRISTINA A. 254 11TH ST. BRGY 93 11TH AVENUE CALOOCAN CITY - - 2,030.34 2,030.34 2019-07-26 19-3117 NASRODING, AINA B. BLOCK 26 LOT 2 KAIMITO ST. BRGY STO. NIÑO PASAY - CITY - 1,760.41 1,760.41 2019-07-26 19-3118 DELOS ANGELES, KAYCEE B. 4886 INTERIOR 22 SAN ROQUE ST. BRGY 598 OLD STA. - MESA MANILA - 1,416.34 1,416.34 2019-07-11 19-3119 VENTURA, MARICEL W. 757 RICAFORT ST. BRGY 56 TONDO MANILA - - 5,125.35 5,125.35 2019-07-03 19-3120 PADILLA, CLARISSE C. BLK 16 LOT 169 LANGARAY PADAS ALLEY ST. BRGY - NONE DAGAT DAGATAN - CALOOCAN CITY 2,184.77 2,184.77 2019-07-11 19-3121 DUBLIN, GINA S. BLOCK 21 LOT 11 PHASE 1 SOUTHVILLE 5A ST. BRGY - LANGKIWA BIÑAN LAGUNA - 3,568.93 3,568.93 2019-07-11 19-3122 LIANSING, JOCELYN P. 162 KANLAON ST. BRGY MAHARLIKA STA. MESA HEIGHTS - QUEZON CITY - 569.28 569.28 2019-07-12 19-3123 CARPIO, MARY ROSE P. 14-B SAN JUAN ST. BRGY 8 PASAY CITY - - 1,490.87 1,490.87 2019-07-12 19-3124 REYES, DANNICA JOYCE G. 17 TINAGAN ST. BRGY SAN JOSE QUEZON CITY - - 464.44 464.44 2019-07-10 19-3125 MAMARIL, MARA E. 2119 PISTA ST. BRGY 351 STA. CRUZ MANILA - - 55.20 55.20 2019-07-10 19-3126 SIDIQ, SAIMA M. 612 GERONIMO ST. BRGY NONE SAMPALOC MANILA - - 392.30 392.30 2019-07-10 19-3127 MENDOZA, JANNA 2094 BATO EXTENSION, RAXABAGO ST. BRGY 150 TONDO - MANILA - 635.96 635.96 2019-07-10 19-3128 DAIGDIGAN, ANALIZA E. 1773 SAN LAZARO ST. BRGY 297 STA. CRUZ MANILA - - 227.43 227.43 2019-07-07 19-3129 DALISAY, ANGEL ROSE B. UMC ST. BRGY SAN NICOLAS III BACOOR CAVITE - - 13,837.35 13,837.35 2019-07-20 19-3130 ABALOYAN, HEZEL P. 119-KALIRAYA ST. BRGY TATALON QUEZON CITY - - 2,856.20 2,856.20 2019-07-17 19-3131 BAYUGA, JONNA ROSE P. 1268 DINALUPIHAN ST. BRGY 206 TONDO MANILA - - 1,980.75 1,980.75 2019-07-21 19-3132 SERVANO, BERNADETTE J. 14 FRATERNAL ST. BRGY 385 STA. CRUZ MANILA - - 3,540.75 3,540.75 2019-07-22 19-3133 SALCEDO, SYLVIA D. 1850 G. TUAZON ST. BRGY 576 SAMPALOC MANILA - - 78,455.49 78,455.49 2019-07-03 19-3134 JUSAY, DAMIAN M. BLK 3 LOT 9 CASSANOVA DRIVE ST. BRGY CULIAT 173.35 TANDANG SORA QUEZON - CITY - 173.35 2019-07-08 19-3135 DESPI, NELIA A. BLK 1 B EXTENSION SAMATAD TANIGUE ST. BRGY 14 - CALOOCAN CITY - 20,243.84 20,243.84 2019-07-09 19-3136 YALUNG, CECILIA H. 4264 DIAM ST. ST. BRGY GEN. T. DE LEON VALENZUELA 7,098.00 CITY - - 7,098.00 2019-07-11 19-3137 CASTILLO, ZEKE D. 15 B IGNACIO ST. BRGY 162 STA. QUITERIA CALOOCAN - CITY - 107.51 107.51 2019-07-12 19-3138 KATAYAMA, HIROAKI V. 4735 CUANGCO ST. BRGY PIO DEL PILAR MAKATI - - 1,060.00 1,060.00 2019-07-12 19-3139 LIRASAN, SOLITA C. 1295 LUALHATI ST. BRGY 41 TONDO MANILA - - 1,152.00 1,152.00 2019-07-12 19-3140 TORMES, MHARIEL BLK1 LOT4 PH3 E1 ST. BRGY 14 DAGAT-DAGATAN CALOOCAN - CITY - 2,350.00 2,350.00 2019-07-12 19-3141 PACILAN, JOEBERT E. MANALO WEST ST. BRGY DEL MONTE QUEZON CITY - - 1,341.15 1,341.15 2019-07-12 19-3142 DE VERA, CARMELITA R. 123 9TH AVE.WEST GRACE PARK ST. BRGY 59 WEST - GRACE PARK CALOOCAN - CITY 890.00 890.00 2019-07-12 19-3143 ELAGO, MARY JANE P. 2422 C.MOLAVE ST. BRGY 227 TONDO MANILA - - 720.00 720.00 2019-07-12 19-3144 CAMBUSA, BENITO R. 1345 BURGOS ST. BRGY 826 PACO MANILA - - 2,268.86 2,268.86 2019-07-12 19-3145 ENIERGA, RODRIGO A. B12 L16 VILLAGE HOMES ST. BRGY MOLINO 3 BACOOR - CAVITE - 1,345.00 1,345.00 2019-07-12 19-3146 HINACAY, MARK ANTHONY R. ESTERO DE MAGADALENA ST. BRGY 259 TONDO MANILA - - 1,496.48 1,496.48 2019-07-12 19-3147 MARTINEZ, JOSELITO L. 516 TAGAYTAY ST. BRGY 130 CALOOCAN CITY - - 3,298.53 3,298.53 2019-07-12 19-3148 ARGAYOSO, JIMMY M. 1731 G.SANTIAGO ST. BRGY 255 TONDO MANILA - - 701.21 701.21 2019-07-12 19-3149 CACAYURIN, LHORENCE G. 318 R.DOMINGO ST. BRGY TANGOS NORTH NAVOTAS - CITY - 1,060.00 1,060.00 2019-07-12 19-3150 ARPON, SHANLEY ANNE L. BRGY 118 TONDO MANILA - 900.00 - 900.00 2019-07-12 19-3151 PEDRACITA, HERNAN 72 SAN MIGUEL RD GATE 8 ST. BRGY 275 BINONDO MANILA- - 1,302.31 1,302.31 2019-07-12 19-3152 VILLANUEVA, JONALYN -. 144 DIMASALANG ST. BRGY 30 MAYPAJO CALOOCAN - CITY 130.00 - 130.00 2019-07-12 19-3153 DE GUZMAN, ELVIRA M. 304 PAULICAS ST. BRGY 31, ZONE 3 MAYPAJO CALOOCAN 625.00 CITY - - 625.00 2019-07-12 19-3154 GURROBAT, TEODULO S. AREA 5 BLK. 25 RAMBUTAN ST. BRGY CAPRI NOVALICHES - QUEZON 1,080.00CITY - 1,080.00 2019-07-12 19-3155 RECELLA, AURORA D. P-1 ST. BRGY DIRITA- BALOGUEN IBA ZAMBALES - 1,080.00 - 1,080.00 2019-07-12 19-3156 DIAZ, ANTONIO C. 1438 C.M HIZON ST. BRGY 320 STA. CRUZ MANILA 2,383.50 - - 2,383.50 2019-07-12 19-3157 OSAL, TERESITA A. 49 ESGUERRA ST. BRGY 2 SANGANDAAN CALOOCAN 202.45 CITY - - 202.45 2019-07-12 19-3158 SINAG, CAROLINA A. 1131 NEW ANTIPOLO ST. BRGY 216 TONDO MANILA 754.50 - - 754.50 2019-07-12 19-3159 MEDALLADA, NESTOR J. 15 MACOPA, SAMPALOC SITE II ST. BRGY BF HOMES - PARAÑAQUE CITY 754.50 - 754.50 2019-07-12 19-3160 MEDALLADA, NESTOR J. 15 MACOPA, SAMPALOC SITE II ST. BRGY BF HOMES - PARAÑAQUE CITY 840.00 - 840.00 2019-07-12 19-3161 EVANGELISTA, LYRAZARENE P. 1629 KALIMBAS ST. BRGY 340 STA. CRUZ MANILA - 1,080.00 - 1,080.00 2019-07-12 19-3162 PASCUA, PRISCILLA A. 581 INT 26 F. VARONA ST. BRGY 67 TONDO MANILA 227.60 - - 227.60 2019-07-12 19-3163 UY, MINERVA G. 248 CORREGIDOR ST. BRGY 63 16TH AVENUE CALOOCAN 649.10 CITY - - 649.10 2019-07-12 19-3164 STA. MARIA, EFREN L. 1329 S. NICOLAS ST. BRGY 255 TONDO MANILA 498.00 - - 498.00 2019-07-12 19-3165 AGAO, PIO E. BLK 4 LOT 2 SOUTHVILLE 3A EXT ST. BRGY SAN ANTONIO754.50 SAN PEDRO LAGUNA - - 754.50

Page 52 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-12 19-3166 SE, ELVIRA G. BLK 14 LOT 7 JENNIFER ST. BRGY MAYAMOT ANTIPOLO 429.00 CITY - - 429.00 2019-07-12 19-3167 TONEL, ANITA G. 812 LINAMPAS ST. DAGUPAN ST. BRGY 50 TONDO 754.50 MANILA - - 754.50 2019-07-12 19-3168 LANSANGAN, ROSALIE F. 123 L. NADURATA ST. BRGY 31 CALOOCAN CITY 936.00 - - 936.00 2019-07-12 19-3169 LAGUNA, LUCILA M. 2113 M. HIZON ST. BRGY 345 STA. CRUZ MANILA 1,084.50 - - 1,084.50 2019-07-12 19-3170 LACSON, BEVERLYN Q. 806 DALAG COMPOUND ST. BRGY 165 BAGBAGUIN CALOOCAN- 1,200.00 - 1,200.00 2019-07-12 19-3171 LACSON, BEVERLYN Q. 806 DALAG COMPOUND ST. BRGY 165 BAGBAGUIN CALOOCAN- 10,200.00 - 10,200.00 2019-07-12 19-3172 THRUELEN, RAMIRO R. 310 LACSON ST. BRGY 95 TONDO MANILA - - 1,712.83 1,712.83 2019-07-12 19-3173 MANTARING, ANNA CHRISTINA F.110 GUMAMELA ST. EXT ST. BRGY GEN T. DELEON 573.30 VALENZUELA CITY - - 573.30 2019-07-12 19-3174 PASCUA, JENNIFER A. 1581 INT. 26 F. VARONA ST. BRGY 67 TONDO MANILA - 130.00 - 130.00 2019-07-12 19-3175 SALVADOR, LEON G. 4F FIDEL T.S CRUZ SUBDIVISION ST. BRGY SAN AGUSTIN - NOVALICHES QUEZON - CITY 4,647.24 4,647.24 2019-07-12 19-3176 PASCUA, JENNIFER A. 1581 INT. 26 F. VARONA ST. BRGY 67 TONDO MANILA 106.50 - - 106.50 2019-07-12 19-3177 DADURAL, CORAZON C. 1574 QUIRINO ST. BRGY 108 TONDO MANILA 754.50 - - 754.50 2019-07-12 19-3178 DADURAL, CORAZON C. 1574 QUIRINO ST. BRGY 108 TONDO MANILA - 1,320.00 - 1,320.00 2019-07-12 19-3179 GAVINO, LEONORA R. 14 ST. BRGY 651 PORT AREA MANILA 1,159.40 - - 1,159.40 2019-07-12 19-3180 AGUILAR, ERLINDA P. 19 LAUREL ST. TONDO MANILA 2,587.00 - - 2,587.00 2019-07-12 19-3181 ROSALES, MAXENE MAE V. 1915 CAPULONG ST. BRGY 151 TONDO MANILA - - 5,950.00 5,950.00 2019-07-12 19-3182 CHUA, PURITA A. 1079 SOLIS ST. ST. BRGY 215 TONDO MANILA - 1,500.00 - 1,500.00 2019-07-12 19-3183 CERVANTES, ANGELITA D. 242 CORREGIDOR ST. 10TH AVE. ST. BRGY 63 CALOOCAN 730.50 CITY - - 730.50 2019-07-12 19-3184 GREGORIO, JUANITO JR. D. 463 RAJA LAPU-LAPU ST ST. BRGY DAANG HARI 850.50 NAVOTAS CITY - - 850.50 2019-07-12 19-3185 NAVA, LEONILA B. 140 BAYANI STREET ST. BRGY 37 MARULAS CALOOCAN - CITY 500.00 - 500.00 2019-07-12 19-3186 CONSERMAN, AMPARO M. BLDG 19, UNIT 50 ST. BRGY 105 TONDO MANILA - 1,800.00 - 1,800.00 2019-07-12 19-3187 DE GRACIA, ANALIN D. B10 L7 PH2 VILLA ARAGON ST. BRGY MUZON SAN 330.55 JOSE DEL MONTE BULACAN - - 330.55 2019-07-12 19-3188 RAMIREZ, BERNARDINO C. 1527 F SORIANO ST. BRGY PALATIW PASIG CITY 850.50 - - 850.50 2019-07-12 19-3189 ALVAREZ S.R., GEORGE G. 481 NARRA RD. MARKET SITE ST. BRGY SAN VICENTE - BAYAN BAYANAN SAN - PEDRO, LAGUNA 4,250.00 4,250.00 2019-07-12 19-3190 ALEMANZA, BHANESSA L. 514 AGUILA ST. BRGY 62 TONDO MANILA 5,266.80 - - 5,266.80 2019-07-12 19-3191 ABAD, FLORDELIZA D. 150 ROAD 1 I MARCELO ST. BRGY MALANDAY VALENZUELA - CITY 1,200.00 - 1,200.00 2019-07-12 19-3192 DALAPA, CECILIA A. 6-A JUAN ABAD ST. BRGY MACANAYA APARRI CAGAYAN - 14,000.00 - 14,000.00 2019-07-12 19-3193 ENRIQUEZ, ZAKARY 1174 TAMBAKAN RD 4 ST. BRGY 35 MAYPAJO CALOOCAN - - 130.00 130.00 2019-07-12 19-3194 DELA CRUZ, CARL BRYAN 1030 MISSIONARIES OF CHARITIES TAYUMAN ST. BRGY - 254 TONDO 1,800.00MANILA - 1,800.00 2019-07-12 19-3195 HISUS, EXCELSA B. 163 -C9 KAINGIN ST. BRGY TINAJEROS MALABON CITY - 325.00 - 325.00 2019-07-12 19-3196 HERCER, MAXIMINO JR L. 2151 VISAYAN AVE, COR LEYTE ST. BRGY 562 SAMPALOC 754.50 MANILA - - 754.50 2019-07-12 19-3197 TAGUAN, JULIET A. SAN FRANCISCO ST. STA. CATALINA NEGROS ORIENTAL 214.50 - - 214.50 2019-07-12 19-3198 TAPAYA, JOHN MARK A. 7 GABRIEL ST. BRGY HULONG DUHAT MALABON CITY - - 1,060.00 1,060.00 2019-07-12 19-3199 JEPSANE, JENNIFER O. 2015 YAKAL ST. BRGY 355 STA. CRUZ MANILA - 130.00 - 130.00 2019-07-12 19-3200 PEÑOL, MAXIMA S. 423 WALING WALING ST ST. BRGY 149 BAGONG BARRIO - CALOOCAN 1,440.00CITY - 1,440.00 2019-07-12 19-3201 JEPSANE, JENNIFER O. 2015 YAKAL ST. BRGY 355 STA. CRUZ MANILA 312.00 - - 312.00 2019-07-12 19-3202 DIANCO, SIMON R. 1085 STA. CLARA ST. BRGY 537, ZONE 53 SAMPALOC - MANILA 1,500.00 - 1,500.00 2019-07-12 19-3203 BORADO, NATIBETH M. BLK10 LOT10 P4 ST. BRGY TONSUYA LETRE MALABON - CITY - 3,240.00 3,240.00 2019-07-12 19-3204 TAROG, PRIMITIVA V. BAGONG SILANG CALOOCAN CITY P 7 B 7 L 8 9,972.00 - - 9,972.00 2019-07-12 19-3205 ELMA, SOFIA O. BRGY CUMON QUEZON PROVINCE - 810.00 - 810.00 2019-07-12 19-3206 MORADA, LITO P. 2001 SINGALONG ST. BRGY 722 MALATE MANILA 1,509.00 - - 1,509.00 2019-07-12 19-3207 PEREZ, MA. KATHRINA LOU R. BLK 7 LOT 6 UNIT C TANGILE ST. BRGY MARIKINA 16,900.00 HEIGHTS NARIKINA - - 16,900.00 2019-07-12 19-3208 SAMULDE, CARL ANDREY P. 65 D BLUE ST. BRGY 110 TONDO MANILA - 4,800.00 - 4,800.00 2019-07-12 19-3209 SAMPILO, ELIZABETH M. 444 INOCENCIO ST. ST. BRGY 93 TONDO MANILA 1,040.25 - - 1,040.25 2019-07-12 19-3210 CRUZ, CHARLES EDWARD A. 1681 INT 11, F VARONA ST. BRGY 79 TONDO MANILA - - 530.00 530.00 2019-07-12 19-3211 FERRER, MC YUAN T. 1712 ANTIPOLO ST. BRGY 349 STA. CRUZ MANILA - - 1,060.00 1,060.00 2019-07-12 19-3212 SAN JOSE, SOLEDAD 105 L. NADURATA ST., MAYPAJO, CALOOCAN CITY - - 1,014.70 1,014.70 2019-07-12 19-3213 PEREZ, MARICRIS M. 259 ESTERO DE MAGDALENA ST. BRGY 259 TONDO -MANILA - 4,120.00 4,120.00 2019-07-12 19-3214 ALVIOLA JR., FELIXBERTO 17 SOY ST., KARUHATAN, VALENZUELA - - 3,277.51 3,277.51 2019-07-12 19-3215 SANDOVAL, MARIA R. BRGY CALANGAY SAN NICOLAS - 679.50 - 679.50 2019-07-12 19-3216 SANDOVAL, AMANDA H. 263 ST. BRGY CALANGAY SAN NICOLAS BATANGAS 156.00 - - 156.00 2019-07-12 19-3217 ARELLANO, ARIEL PAUL G. BRGY AGRICULTURE MIDSAYAP NORTH COTABATO - - 881.78 881.78 2019-07-12 19-3218 CUYUGAN, MARIETTA -. 1919 ALMEDA ST. BRGY 226, ZONE 21 TONDO MANILA 754.50 - - 754.50 2019-07-12 19-3219 FABURADA, GINA G. 60 KALIRAYA, TATALON, QUEZON CITY - - 27,053.30 27,053.30 2019-07-12 19-3220 CABALLEGAN, ROSE ANN V. 931 MC GREGOR ST. QUIAPO MANILA - 1,500.00 - 1,500.00 2019-07-12 19-3221 EREPOL, MYRNA 4-SHECHEM ST. JORDAN HEIGHT NOVALICHES 1,011.70 - - 1,011.70 2019-07-12 19-3222 TABUSO, ALLYZA KATRINA B. BLK 5 LOT 40 NORTHVIEW POINTE ST. BRGY PAJO MEYCAUAYAN - BULACAN 990.00 - 990.00 2019-07-12 19-3223 CASTOR, MARILYN M. AMBATALI, RAMON, ISABELA\ 9,972.00 - - 9,972.00 2019-07-12 19-3224 GUIMBAN, ALLYSA P. B19 L1 PH3D ST. BRGY 28 CALOOCAN CITY - - 8,436.29 8,436.29 2019-07-12 19-3225 SEMBRINO, FLUIDETH S. BLDG21 UNIT401 VITAS KATUPARAN ST ST. BRGY 101 - TONDO MANILA - 360.00 360.00 2019-07-12 19-3226 ARCEGA, MA. LUISA K. 146 STOTSENBERG ST. BRGY 70 GRACE PARK CALOOCAN - CITY - 525.41 525.41

Page 53 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-12 19-3227 MACOGUE, EVELYN S. 47 D. TALISAY ST. BRGY 110 DON BOSCO TONDO 754.50 MANILA - - 754.50 2019-07-12 19-3228 DELA CRUZ, FE B. 361 MARULAS A. ST. BRGY 36 1ST AVENUE CALOOCAN - CITY 5,400.00 - 5,400.00 2019-07-12 19-3229 IBUAN, FATIMA V. 30 KATIPUNAN ST. BRGY BAYAN-BAYANAN MALABON 387.85 CITY - - 387.85 2019-07-12 19-3230 ABANCO, WILLIAM V. A-1 24 KATIPUNAN ST. BRGY BAYAN BAYANAN 1,416.00 MALABON CITY - - 1,416.00 2019-07-12 19-3231 CASTILLO, AIREEN 1626 J.FAJARDO, ST SAMPALOC MANILA 18,120.60 - - 18,120.60 2019-07-12 19-3232 MARASIGAN, GLORIA T. 117 B. ROXAS BLK 6 ST. BRGY 100 TONDO MANILA - 1,080.00 - 1,080.00 2019-07-12 19-3233 PINEDA, MARY JANE M. 2110 MAKATA ST. BRGY 358 STA CRUZ MANILA - - 712.90 712.90 2019-07-12 19-3234 DIZON, REYNALDO SR. T. 1281 INT 11 TAMBUNTING ST. BRGY 373 STA. CRUZ 120.50 MANILA - - 120.50 2019-07-12 19-3235 MABALOT, ANJENETTE A. BRGY 75 TONDO MANILA 3,324.00 - - 3,324.00 2019-07-12 19-3236 CRUZ, REYSAN M. 310 INOCENCIO ST. BRGY 95 TONDO MANILA - 1,200.00 - 1,200.00 2019-07-12 19-3237 ORONCE, FREDERICK JUDE NIÑO NABUNGL. ST. BRGY CABUANG PEPE MACABEBE PAMPANGA - - 1,153.60 1,153.60 2019-07-12 19-3238 SAYSON, TERESITA R. BLK 61 LOT 22 LAS PALMAS ST. BRGY CAYPOMPO STA - MARIA BULACAN - 5,638.62 5,638.62 2019-07-12 19-3239 CARANTO, SHIRLEY S. 3424 J. CRUZ ST. BRGY 39 TONDO MANILA - - 470.00 470.00 2019-07-12 19-3240 SANCHEZ, SCARLET KATE 33 SAINT ANTHONY ST. BRGY MANUYO UNO LAS PIÑAS - CITY - 4,640.99 4,640.99 2019-07-12 19-3241 BALANDANG, LOYD N. 224 ST. BRGY BALINGASA QUEZON CITY - - 6,189.38 6,189.38 2019-07-12 19-3242 AGUILAR, JAZAREN R. QUINTANA ST. BRGY 633 STA MESA MANILA - - 3,070.94 3,070.94 2019-07-12 19-3243 ABAN, IVAN P. 268 GARCIA BLDG. ST. BRGY 330 STA. CRUZ MANILA - - 17,936.17 17,936.17 2019-07-12 19-3244 LOTERIÑA, JOHN MARK R. 22 RIZAL AVENUE ST. BRGY 20 CALOOCAN CITY - - 14,314.36 14,314.36 2019-07-12 19-3245 AMI, GISELLE F. BLK. 2 LOT 2 UNIT 5KULASISI ST. BRGY COMMONWEALTH - QUEZON CITY - 718.87 718.87 2019-07-12 19-3246 MORENO, JOSELITO N. BLK 47 LOT50 NORTHVILLE 2 ST. BRGY BIGNAY VALENZUELA - CITY - 16,132.45 16,132.45 2019-07-12 19-3247 GUMAPON, MARK DANIEL I. 725 INT. 44 LAONG NASA ST. BRGY 155 TONDO MANILA - - 1,060.00 1,060.00 2019-07-12 19-3248 BUSTILLO, RUBYLYN C. BLOCK 1 LOT 20 TRANSVILLE HOME ST. BRGY SAN AGUSTIN - TRECE MARTIRES - CAVITE 2,443.41 2,443.41 2019-07-12 19-3249 EGANO, ANGELO T. BRGY LEMON CAPOOCAN TACLOBAN LEYTE - - 302.18 302.18 2019-07-12 19-3250 DEL ROSARIO, MARIA CHLOE 2279 GAGALANGIN ST. BRGY 148 TONDO MANILA - - 2,296.45 2,296.45 2019-07-12 19-3251 RIVERA, CARMEN A. BRGY 331 STA. CRUZ MANILA 823.50 - - 823.50 2019-07-12 19-3252 RIVERA, LEONARD S. BRGY 331 STA. CRUZ MANILA 823.50 - - 823.50 2019-07-12 19-3253 MENDEZ, EUNICE A. BRGY VILLA PAG-ASA BANSUD ORRIENTAL MINDORO 754.50 - - 754.50 2019-07-12 19-3254 MARCELINO, AUREA G. 9B. MANGO RD. ST. BRGY POTRERO MALABON CITY - - 5,042.18 5,042.18 2019-07-12 19-3255 TAMAYAO, WILFREDO M. 98-A PINEAPPLE ROAD ST. BRGY POTRERO MALABON - CITY - 1,500.80 1,500.80 2019-07-12 19-3256 DOBLAS, VIOLETA T. 194 M. DELA FUENTE ST. BRGY 424 SAMPALOC MANILA - - 470.00 470.00 2019-07-12 19-3257 AMEN, JOY I. DAMATA ST. BRGY TONSUYA LETRE MALABON 1,528.80 CITY - 260.00 1,788.80 2019-07-12 19-3258 ROSIALDA, DOLORES M. TORLLIE DAGAT DAGATAN ST. BRGY 28 CALOOCAN - CITY - 530.00 530.00 2019-07-12 19-3259 LORENZO, NORBERTO C. 2926 JOSE ABAD SANTOS ST. BRGY 206 MANILA - - 1,207.27 1,207.27 2019-07-12 19-3260 FALLER, PRINCE JORELL N. BLOCK 5 SUMUROY ST., MAGSAYSAY VILLAGE ST. BRGY - 105 TONDO MANILA - 1,060.00 1,060.00 2019-07-12 19-3261 BASLOTE, DANILO B. 395 LALLANA ST. TONDO MANILA - - 1,549.47 1,549.47 2019-07-12 19-3262 HILARIO, PATRICK DAVE M. BLOCK 31 LOT 14 MAIN ST. BRGY TAÑONG MALABON - CITY - 2,407.20 2,407.20 2019-07-12 19-3263 FAJARDO, ORLAN C. 029 ST. BRGY BANCAL MEYCAUAYAN BULACAN 79.50 - - 79.50 2019-07-12 19-3264 GUEVARRA, PEDRO JR. C. 313 NEPOMUCENO ST. BRGY 97 TONDO MANILA - - 2,880.00 2,880.00 2019-07-12 19-3265 MARI, AILEEN O. LOT 6 BLOCK 88 PHASE 2 C3 KALAWAKAN ROAD, 732.90 KARANGALAN VILLAGE -ST. BRGY MANGGAHAN - PASIG CITY 732.90 2019-07-14 19-3266 CACINO, BEN JR. M. SITIO 6 ST. BRGY CATMON MALABON CITY - - 9,272.85 9,272.85 2019-07-14 19-3267 CABRAL, PRINCE YAEL M. 1632 M. NATIVIDAD ST. BRGY 339, ZONE 34 STA. CRUZ - MANILA - 1,518.60 1,518.60 2019-07-14 19-3268 JAVIER, ANNALIZA D. 9 T. SANTIAGO ST. BRGY CANUMAY WEST VALENZUELA 765.80 CITY - - 765.80 2019-07-14 19-3269 DOLLETE, JIMUEL DAVE D. 279 SITIO 6 ST. BRGY CATMON MALABON CITY - - 530.00 530.00 2019-07-16 19-3270 AROLLADO, JOHN KENNETH A. 4K TENDIDO ST. BRGY SAN JOSE QUEZON CITY - - 7,190.00 7,190.00 2019-07-16 19-3271 GARRIDO, JENIFFER I. 7 ILANG ILANG ST. BRGY TAGALAG VALENZUELA CITY - - 1,115.00 1,115.00 2019-07-16 19-3272 NAVARRO, CHARLOTTE 33 LITTLE PAMPANGA EXT ST. BRGY BALANGKAS VALENZUELA - CITY - 109.04 109.04 2019-07-16 19-3273 BAUTISTA, MARIBEL D. 565 DELPAN ST. BRGY 286 BINONDO MANILA - - 9,823.05 9,823.05 2019-07-16 19-3274 EDU, AARON JAMES C. 1357 DM COMPOUND ST. BRGY 73 CALOOCAN CITY - - 260.00 260.00 2019-07-16 19-3275 LEGASPI, MARILYN P. SITIO BORACAY ST. BRGY WAWA III ROSARIO CAVITE 429.00 CITY - - 429.00 2019-07-16 19-3276 SUNGA, LEONARDA L. 1615 C FELIX HUERTAS ST. BRGY 339 STA CRUZ MANILA - - 4,787.98 4,787.98 2019-07-16 19-3277 PIÑGOL, ISAGANI L. 1163 B. QUIRICADA ST. BRGY 237 TONDO MANILA 850.50 - - 850.50 2019-07-16 19-3278 ZAMORA, JHONALYN C. 0156 BMBA ST. BRGY 120 2ND AVE CALOOCAN CITY - - 2,336.47 2,336.47 2019-07-16 19-3279 SANTIAGO, GERALDINE C. AREA4 MATIPUNO ST. BRGY MALINTA VALENZUELA - CITY - 360.00 360.00 2019-07-16 19-3280 ORTEGA, BERNARD Q. 203-13 HERNANDEZ ST. BRGY CATMON MALABON 754.50 CITY - - 754.50 2019-07-16 19-3281 ANIERO JR., JONKER N. ANNEX 35 ST. BRGY DON BOSCO PARAÑAQUE - - 4,180.00 4,180.00 2019-07-16 19-3282 MAÑOZCA, NESTOR A. 739 E. SOLIS ST. BRGY 162 TONDO MANILA - - 777.22 777.22 2019-07-16 19-3283 GARAY, RIZMEL A. 2635 LICO ST. BRGY 210 TONDO MANILA - 960.00 - 960.00 2019-07-16 19-3284 BRIGANIA, JC J. PUROK 73 ST. BRGY KAYBAGAL NORTH TAGAYTAY CAVITE - - 3,087.52 3,087.52 2019-07-16 19-3285 AGUENZA, DELIA PFDA NFPC ST. BRGY NBBS NAVOTAS CITY - 1,200.00 - 1,200.00 2019-07-16 19-3286 MACALANSAG, FELICISIMA S. 1834 CAMIA ST. BRGY 177 CAMARIN CALOOCAN CITY - 1,500.00 - 1,500.00 2019-07-16 19-3287 EVANGELISTA, LYRAZARENE P. 1629 KALIMBAS ST. BRGY 340 STA. CRUZ MANILA 214.50 - - 214.50

Page 54 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-16 19-3288 ORTEGA, ROSITA M. 1359 DM COMP. ST. BRGY 73 CALOOCAN CITY 803.50 - - 803.50 2019-07-16 19-3289 EVANGELISTA, LYRAZARENE P. 1629 KALIMBAS ST. BRGY 340 STA. CRUZ MANILA - 1,500.00 - 1,500.00 2019-07-16 19-3290 CELOSO, EMMA S. BRGY QUINABCABAN DAO CAPIZ 3,324.00 - - 3,324.00 2019-07-16 19-3291 MONTE, KURT HIRO E. 59 SAMPAGUITA ST. BRGY 156 EAST BAGONG BARRIO - CALOOCAN CITY 500.00 - 500.00 2019-07-16 19-3292 HERDRIANA, CRISTINA A. UNIT 202, BLDG. 7, PERMANENT HOUSING ST. BRGY - 128 TONDO MANILA - 558.40 558.40 2019-07-16 19-3293 TESORO, MHARLYN F. 2921 SAMAL ST. BRGY 206 TONDO MANILA 1,207.10 - - 1,207.10 2019-07-16 19-3294 JUSAY, ADRIANO R. 441 B. LAUREL ST. BRGY 119 TONDO MANILA - 1,680.00 - 1,680.00 2019-07-16 19-3295 SANTOS, CARA JANE C. 1225 F. YUSECO ST. BRGY 223 TONDO MANILA - 1,440.00 - 1,440.00 2019-07-16 19-3296 MARQUEZ, ROGELIO S. 40 B. ORCHID ST. BRGY LONGOS MALABON CITY 754.50 - - 754.50 2019-07-16 19-3297 Eumague, Emma R. 3 BINCER ST. BRGY 149 BAGONG BARRIO CALOOCAN 754.50 CITY - - 754.50 2019-07-16 19-3298 Eumague, Jeremias B. 3 BINCER ST. BRGY 149 BAGONG BARRIO CALOOCAN 1,779.30 CITY - - 1,779.30 2019-07-16 19-3299 TOLENTINO, FAUSTO P. 999 A-5 MORONG ST. BRGY 198 MANUGUIT, TONDO - MANILA - 913.24 913.24 2019-07-16 19-3300 Eumague, Joanna R. 3 BINCER ST. BRGY 149 BAGONG BARRIO CALOOCAN 1,066.45 CITY - - 1,066.45 2019-07-16 19-3301 BATANES, LIGAYA M. 141 ESGUERRA ST. BRGY 75 CALOOCAN CITY - 2,340.00 - 2,340.00 2019-07-16 19-3302 AVIÑANTE JR., JACINTO L. 111 NAVAL ST. BRGY BARITAN MALABON CITY 3,282.00 - - 3,282.00 2019-07-16 19-3303 AVIÑANTE JR., JACINTO L. 111 NAVAL ST. BRGY BARITAN MALABON CITY - 1,920.00 - 1,920.00 2019-07-16 19-3304 TELLO, ANGELA G. 1809 C. F. VARONA ST. BRGY 85 TONDO MANILA - 500.00 - 500.00 2019-07-16 19-3305 QUIÑONES, URBANO C. 375 BLK67 LOT1 KAWAL ST ST. BRGY 28 DAGAT- 1,552.50 DAGATAN CALOOCAN CITY - - 1,552.50 2019-07-16 19-3306 MANANSALA, CEZAR E. 2391 HERNANDEZ ST ST. BRGY 883 STA. ANA MANILA - 1,620.00 - 1,620.00 2019-07-16 19-3307 DOCDOCIL, ARCELI G. CAMIA ST. BRGY MOLINO 6 BACOOR CAVITE CITY - 1,440.00 - 1,440.00 2019-07-16 19-3308 BONILLA, MA LOURDES O. 2236 F SINGALONG ST. BRGY 744 MALATE MANILA 3,324.00 - - 3,324.00 2019-07-16 19-3309 BANAAG, FAUSTINO M. 63-A JACINTO ST. BRGY MARULAS VALENZUELA 1,552.50 CITY - - 1,552.50 2019-07-16 19-3310 SAYO, NORBERTO S. 244 B.M BAESA CLEOFAS ST. BRGY 162 BAESA, STA. 850.50 QUITERIA CALOOCAN - CITY - 850.50 2019-07-16 19-3311 TARIO, LEOPOLDO R. 1672 QUIRICA ST ST. BRGY 324 STA. CRUZ MANILA 754.50 - - 754.50 2019-07-16 19-3312 SALUD, MICHAEL A. 161 C. NAMIN ST. BRGY MARULAS A CALOOCAN CITY - 3,060.00 - 3,060.00 2019-07-16 19-3313 JAMON, ELISA C. 3079 D GUMAMELA EXT ST. BRGY GEN T DE LEON 1,219.45 VALENZUELA CITY - - 1,219.45 2019-07-16 19-3314 LUMEN, ARTURO G. BLK.32 LOT52 P2 AREA2 ST. BRGY NBBS NAVOTAS 6,942.00 CITY - - 6,942.00 2019-07-16 19-3315 ARPON, AILYN G. BRGY DARAM CATBALUGAN SAMAR - 4,000.00 - 4,000.00 2019-07-16 19-3316 LICARDO, JOENEIL KIM M. 1947 AUROLLO ST. BRGY 626 STA. MESA MANILA - 890.00 - 890.00 2019-07-16 19-3317 AROMIN, JOSEPH N. 157 TUVERA ST. BRGY 254 BAMBANG MANILA 366.60 - - 366.60 2019-07-16 19-3318 AGUILAR, JOSEPHINE N. A. C. MERCADO ST. BRGY 1 ROSARIO CAVITE - - 1,931.00 1,931.00 2019-07-16 19-3319 IGLESIAS, LUIS N. 201 OPAL ST. BRGY 72 TONDO MANILA 754.50 - - 754.50 2019-07-16 19-3320 LAWANG, OFELIA L. B6 L11 PL 26 ST. BRGY 20 CALOOCAN CITY 2,208.00 - - 2,208.00 2019-07-16 19-3321 PINEDA, ROMEO O. 47 MA.CLARA ST. BRGY STO.DOMINGO QUEZON CITY - 260.00 - 260.00 2019-07-16 19-3322 GAPASEN, PRINCE NATHAN M. BLDG. C210 ST. BRGY 118 TONDO MANILA - - 530.00 530.00 2019-07-16 19-3323 SIOCHI, ANTONIO B. BLDG 6 UNIT 26 SOCIALIZED HOUSING ST. BRGY 850.50 TANZA NAVOTAS CITY - - 850.50 2019-07-16 19-3324 TAJUNA, ALBERT G. 2554 JUAN LUNA ST. BRGY 153 TONDO MANILA 754.50 - - 754.50 2019-07-16 19-3325 BARRION, JUSTINE DIANE D. 955 JULIAN FELIPE ST. BRGY 8 SANGANDAAN CALOOCAN - CITY - 682.12 682.12 2019-07-16 19-3326 ARIMADO, ROBERT R. 42 GEN. MALVAR ST. BRGY 137 BAGONG BARRIO 754.50 CALOOCAN CITY - - 754.50 2019-07-16 19-3327 BENDANA, EDITHA B. P2 CANAWAY ST. BRGY MALILIPOT ALBAY - 5,700.00 - 5,700.00 2019-07-16 19-3328 BOCAL, ROMEO O. 4026 PECHAYAN ST. BRGY 178 CAMARIN CALOOCAN 251.50 CITY - - 251.50 2019-07-16 19-3329 ALMONICAR, GINA R. 1050 AMARIANO ST. BRGY BAGBAGUIN VALENZUELA - CITY 1,500.00 - 1,500.00 2019-07-16 19-3330 SALONGA, VIRGINIA C. 031 EAST LIBIS ST. BRGY 160 BAESA CALOOCAN CITY - - 1,495.53 1,495.53 2019-07-16 19-3331 GANUELLAS, RAMON C. 117 ALVAREZ ST. BRGY 384 STA CRUZ MANILA 296.50 - - 296.50 2019-07-16 19-3332 GAVINA , ROSALINDA C. B30 L21 NORTHVILLE 4B, ST. BRGY LAMBAKIN MARILAO 861.00 BULACAN - - 861.00 2019-07-16 19-3333 GAVINA, JOHN ARIEL C. 235 HONORIO LOPEZ ST. BRGY 235 TONDO MANILA 754.50 - - 754.50 2019-07-16 19-3334 MENDOZA, ROMANO C. 1533 OROQUIETA ST. BRGY 325 STA. CRUZ MANILA 754.50 - - 754.50 2019-07-16 19-3335 CAGUIOA, EZEKIEL T. BLK 20 LOT 52 BENAHAVIS TERRA NOVA ROYALE 3 - ST. BRGY BAGUMBONG 325.00 CALOOCAN CITY - 325.00 2019-07-16 19-3336 FEOLINO, JESSA B. 7 G. ROXAS ST. BRGY SAN JOSE QUEZON CITY - 500.00 - 500.00 2019-07-16 19-3337 CALLOS, MONICA H. 99 BANANA ROAD ST. BRGY POTRERO MALABON - 325.00 - 325.00 2019-07-16 19-3338 BANGGA- BANGGA, BELINDA S. B22, L11, PH2, SUNRISE PLACE ST. BRGY TRES CRUSES - TANZA CAVITE - 22,338.49 22,338.49 2019-07-16 19-3339 LAGUADOR, MARY JOY N. 4907 SINIGUELAS ST. BRGY 600 STA. MESA MANILA - 900.00 - 900.00 2019-07-16 19-3340 ABENIR, REENA B. 307 5TH AVE., ST. BRGY 118 GRACEPARK CALOOCAN - CITY - 1,657.47 1,657.47 2019-07-16 19-3341 GABRIEL, JOSEFINA A. BLK24 LOT17 P3-D KAUNLARAN VILL ST. BRGY 3,324.00 35 CALOOCAN CITY - - 3,324.00 2019-07-16 19-3342 RAMOS, PATRICIA C. 09 DOLORITO ST. BRGY PUNTURIN VALENZUELA 2,587.00 CITY - - 2,587.00 2019-07-16 19-3343 WONG , PATRIA S. 105 P. SEVILLA 4TH AVENUE ST. BRGY 50 CALOOCAN 214.50 CITY - - 214.50 2019-07-16 19-3344 GURRA, SALVADOR G. 1464 QUISUMBING ST. BRGY 178 CAMARIN CALOOCAN - - 8,119.44 8,119.44 2019-07-16 19-3345 ARUGAY, LUCAS B. 45 H. BAHAWAN ST. BRGY MASAMBONG QUEZON 850.50 CITY - - 850.50 2019-07-16 19-3346 SAYSON, JOSHALYN ALEXIE 1178 STA MONICA SUBDIVISION UGONG VALENZUELA - - 16,000.00 16,000.00 2019-07-16 19-3347 TENERIFE, NANCY D. BRGY BUENAVISTA BATO CATANDUANES - 1,200.00 - 1,200.00 2019-07-16 19-3348 BUCU, ALEXANDER F. 109 4TH AVE ST. BRGY 49 CALOOCAN CITY - - 1,367.08 1,367.08

Page 55 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-16 19-3349 ARROGANTE, WILMA M. 32 F. DELA CRUZ ST. BRGY TALON II BFRV LAS 3,430.50PIÑAS CITY - - 3,430.50 2019-07-16 19-3350 GUEVARRA, MARK ANTHONY L. BRGY 180 TONDO MANILA - 2,160.00 - 2,160.00 2019-07-16 19-3351 MANUEL, JOHN PAUL SHERWIN M.942 INT. 24 BILID VIEJO ST. BRGY 391 QUIAPO MANILA - - 6,080.57 6,080.57 2019-07-16 19-3352 ROXAS, MERIAN A. 47 RANGER ST. BRGY TALON 5 MOONWALK VILLAGE 3,324.00 LAS PIÑAS CITY - - 3,324.00 2019-07-16 19-3353 MONTESA, CHARMIE M. BRGY DOÑA JUANA SAN AGUSTIN ROMBLON - - 49,484.77 49,484.77 2019-07-16 19-3354 YGOÑA, MARICEL F. 88 INT SANCIANGCO ST. BRGY CATMON MALABON 1,321.80 CITY - - 1,321.80 2019-07-16 19-3355 ALBURO, JUANILLO C. 1731 A. RIVERA ST. BRGY 236, ZONE 22 TONDO MANILA - 4,000.00 - 4,000.00 2019-07-16 19-3356 PERALTA, NOLI B. BRGY POBLACION PADRE GARCIA BATANGAS - 8,300.00 - 8,300.00 2019-07-16 19-3357 GALPA, ROWENA A. 1730 IBARRA ST. BRGY 492, ZONE 49 SAMPALOC MANILA - - 3,772.16 3,772.16 2019-07-16 19-3358 CENTENO, DINDO S. 2075 B. KUSANG LOOB ST. BRGY 354 STA. CRUZ MANILA 754.50 - - 754.50 2019-07-16 19-3359 CLEMENTE, EDITHA L. 19 PHODACA ST. BRGY STO. NIÑO GALAS QUEZON CITY - 1,200.00 - 1,200.00 2019-07-16 19-3360 SOLOMON, JHON KIEFER D. BRGY CATMON MALABON CITY - - 21,358.54 21,358.54 2019-07-16 19-3361 PEREZ, MARY ANTONETTE L. C. PEREZ ST. BRGY TONSUYA MALABON CITY - - 2,350.00 2,350.00 2019-07-16 19-3362 CAJAYON, ROMULFO M. 1913 DAGUPAN EXTENSION ST. BRGY 156 TONDO MANILA - - 48,615.43 48,615.43 2019-07-16 19-3363 BESQUERA, ELIZABETH D. 1331 ALFREDO ST. BRGY 342 STA. CRUZ MANILA - - 904.93 904.93 2019-07-16 19-3364 SINFUEGO, DELIA C. 2125 D. MOLAVE ST. BRGY 221 TONDO MANILA 441.50 - - 441.50 2019-07-16 19-3365 SERVAS, ROSITA E. BRGY COTNOGAN POLANGUI ALBAY - 344.95 - 344.95 2019-07-16 19-3366 DELA CRUZ, MARCELO 96 ROTC HUNTERS ST. BRGY TATALON QUEZON CITY - - 360.00 360.00 2019-07-16 19-3367 MANGAMPO, PRINCE KEERVIN M.C-83, CLARIBEN CMPD. ST. BRGY NONE TONDO MANILA - - 2,350.00 2,350.00 2019-07-16 19-3368 VERGARA, MARVIN JAKE S. 100 7TH, COR. 5TH AVE ST. BRGY 123 CALOOCAN CITY - - 2,350.00 2,350.00 2019-07-16 19-3369 GALANZA, MILAGROSA D. BRGY MABINI BASEY SAMAR - - 8,004.78 8,004.78 2019-07-16 19-3370 DELA MERCED, MICCKO LEAR L. 1928 ALMEDA ST. BRGY 225 TONDO MANILA - - 2,350.00 2,350.00 2019-07-16 19-3371 DEL ROSARIO, MA. PILAR S. 68 CEFERINO LIMARDINA ST. BRGY MARULAS VALENZUELA - CITY 900.00 - 900.00 2019-07-16 19-3372 ENGLISH , JOHN KIM L. PUROK 5 ST. BRGY MAGSAYSAY SAN PEDRO LAGUNA - - 1,711.06 1,711.06 2019-07-16 19-3373 MAURILLO JR, FERMIN A. MARCELO ST. BRGY BAGONG BAYAN TAGUIG CITY - - 16,624.31 16,624.31 2019-07-16 19-3374 ANGELES, ALEXA MAE J. BRGY SAN BARTOLOME QUEZON CITY - - 530.00 530.00 2019-07-29 19-3375 YAO, JACKSON S. BRGY 316 TONDO MANILA - - 2,350.00 2,350.00 2019-07-29 19-3376 LAUS, JOHN CARLO M. 661 MARY ANN ST. BRGY 177 TONDO MANILA - - 1,786.74 1,786.74 2019-07-29 19-3377 BARON, LEONARDO D. BRGY 141 BAGONG BARRIO CALOOCAN CITY - - 530.00 530.00 2019-07-29 19-3378 MANLULU, ANNALYN F. 310 B-L IBARRA ST. BRGY 33 TONDO MANILA - - 1,290.00 1,290.00 2019-07-29 19-3379 GARCIA, ANGELITA B. 439 HERBOSA ST. BRGY 92 TONDO MANILA - - 985.00 985.00 2019-07-29 19-3380 VERACES, RICHARD G. SITIO 6 DUMPSITE ST. BRGY CATMON MALABON CITY - - 2,501.25 2,501.25 2019-07-30 19-3381 Epino, Rosa D. 1110 RIZAL AVE. ST. BRGY 316 STA. CRUZ MANILA - - 530.00 530.00 2019-07-30 19-3382 NOVELAS, CRISTINA O. 539 ESGUERRA ST. BRGY 87 TONDO MANILA - - 537.15 537.15 2019-07-30 19-3383 MAGDANGAL, ALFONSO R. 1120 K. BATANGAS ST. BRGY 221 TONDO MANILA - - 2,925.00 2,925.00 2019-07-30 19-3384 ORTALIZA, ELMER B. 6 BANANA ROAD ST. BRGY POTRERO MALABON CITY - - 53.78 53.78 2019-07-30 19-3385 STA. MARIA, EFREN L. 1329 S. NICOLAS ST. BRGY 255 TONDO MANILA 649.10 - - 649.10 2019-07-30 19-3386 IBAY, ISMAEL 1858 ORO-3 STA ANA MANINLA 19,734.00 - - 19,734.00 2019-07-30 19-3387 MC BROOM, PATROCINIA M. B50, L4, MAYA MAYA ST. BRGY LONGOS MALABON 1,515.00 - - 1,515.00 2019-07-30 19-3388 FLORES, ALBERTO D. 1618 SAWATA AREA 1 ST. BRGY 35 MAYPAJO CALOOCAN 793.00 CITY - - 793.00 2019-07-30 19-3389 MARZAN, VIOLETA M. 222B H.DOMINGO ST. BRGY 80 SAN RAFAEL PASAY 1,810.15 CITY - - 1,810.15 2019-07-30 19-3390 DE GUZMAN, MARDIELYN S. BLK 53 LOT 5 PH 1-C ST. BRGY NBBS KAUNLARAN NAVOTAS - CITY 1,200.00 - 1,200.00 2019-07-30 19-3391 DIZON, LEUNAMME SEVEYN A. 39 STA. FE ST. BRGY MARULAN VALENZUELA - 11,000.00 - 11,000.00 2019-07-30 19-3392 HERNANDEZ, CRISTABELLE R. 866 B. STA ELIZABETH ST. BRGY 12 TONDO MANILA - - 1,788.69 1,788.69 2019-07-30 19-3393 GABRAL, JANET 3646 INT. 74 BATAAN ST ST. BRGY 615 STA. CRUZ MANILA - 900.00 - 900.00 2019-07-30 19-3394 TELAN, FLOR A. 604 7TH AVE. ST. BRGY 105 CALOOCAN CITY 3,324.00 - - 3,324.00 2019-07-30 19-3395 BALBUENA, JERIMIAH 13-E TAGAYTAY ST. BRGY SAN JOSE QUEZON CITY - - 2,350.00 2,350.00 2019-07-30 19-3396 CRUZ, ELVIS 437 PACHECO TONDO MANILA 763.20 - - 763.20 2019-07-30 19-3397 BORBON, NILA BRGY 655 ZONE 69 DIST 5 MANILA 9,972.00 - - 9,972.00 2019-07-30 19-3398 SILVESTRE, EMMANNUEL BRGY AMAYA V,M TANZA CAVITE 3,283.80 - - 3,283.80 2019-07-30 19-3399 ESCARIAL, ROSELL 015 SAN RAFAEL ST SIPAC NAVOTAS CITY 7,854.00 - - 7,854.00 2019-07-30 19-3400 MACAWILE, MARITA Q. PEARL AGATA ST. BRGY STO. CRISTO SAN PABLO CITY - LAGUNA - 1,132.23 1,132.23 2019-07-30 19-3401 YONGCO, ANTONIO 9 RAINFOERCE RD ZONE 4 ST . BRGY SOUTH VILLE TAGUIG - CITY - 10,000.00 10,000.00 2019-07-30 19-3402 PELO, ROMEO H. 128 C NAME ST. BRGY 38 CALOOCAN CITY 652.80 - - 652.80 2019-07-30 19-3403 MAGNO, ROBERTO B. 2327 B. RIZAL AVE ST. STA. CRUZ MANILA - - 1,885.65 1,885.65 2019-07-30 19-3404 IGNACIO, MARTILIANO V. TIESA ST. BRGY 118 TONDO MANILA - 1,080.00 - 1,080.00 2019-07-30 19-3405 SISON, ELWIN MHAR T. 2094 JUAN LUNA ST. BRGY 158 TONDO MANILA - - 2,350.00 2,350.00 2019-07-30 19-3406 LOPEZ, ANACLETO PUROK I BINUANGAN OBANDO BULACAN - - 20,000.00 20,000.00 2019-07-30 19-3407 TIÑA, JEFFREY M. 2405 PEDRO GUEVARRA ST. BRGY 364 STA. CRUZ MANILA - - 2,710.00 2,710.00 2019-07-30 19-3408 DICEN, NIECA D. 1036 QUEZON BLVD ST. BRGY 464, ZONE 46 SAMPALOC - MANILA 1,800.00 - 1,800.00 2019-07-30 19-3409 ESTRELLA, SATURNINA C. BRGY CUTCUT GUIGUINTO BULACAN - 1,200.00 - 1,200.00

Page 56 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-30 19-3410 ZABLAN, LUZVIMINDA 2893 RIZAL AVE. TAMBUNTING ST. BRGY NONE 2,587.00 STA. CRUZ MANILA - - 2,587.00 2019-07-30 19-3411 BUNDALIAN, PRINCESITA T. 417 ST. BRGY NBBN NAVOTAS CITY - - 1,628.31 1,628.31 2019-07-30 19-3412 PALERA, ANELYN V. 1251 AMORGA ST. BRGY 46 TONDO MANILA - - 7,000.00 7,000.00 2019-07-30 19-3413 BENDANA, EDITHA B. P2 CANAWAY ST. BRGY MALILIPOT ALBAY - 20,000.00 - 20,000.00 2019-07-30 19-3414 LINEZO, ALTHEA DENISE M. BRGY POBLACION-2 B MARAGONDON CAVITE - 250.00 - 250.00 2019-07-30 19-3415 PADRIQUE, JAY-ROME V. 1625-E SULU ST ST. BRGY 340 STA. CRUZ MANILA - - 45,844.75 45,844.75 2019-07-30 19-3416 DE LEON, ANALYN S. 1107 QUIRICADA ST. BRGY 237 TONDO MANILA 2,587.00 - - 2,587.00 2019-07-30 19-3417 BAYLON, RINA JOY A. TAMBAKAN ST. BRGY 35 CALOOCAN CITY - - 3,918.83 3,918.83 2019-07-30 19-3418 PURA, HONESTO JR. A. BLK 4 LOT 14 MODEL COMMUNITY ST. BRGY 118 TONDO - MANILA - 1,233.75 1,233.75 2019-07-30 19-3419 MAYORAL, JOHN IVAN M. 308 INT. 2, L. NADURATA ST. BRGY 43 CALOOCAN - - 22,317.74 22,317.74 2019-07-30 19-3420 VITO, ANTONIO M. B14, L6, GMN VILLAGE ST. BRGY LINGUNAN VALENZUELA - CITY 1,200.00 - 1,200.00 2019-07-30 19-3421 Feliciano, Emmalyn M. 1233 PUROK LALOMA ST. CAMARIN CALOOCAN CITY - 1,200.00 - 1,200.00 2019-07-30 19-3422 DE GUZMAN, ROSEMARIE O. 2147 M. NATIVIDAD ST. BRGY 345 STA. CRUZ MANILA - - 2,350.00 2,350.00 2019-07-30 19-3423 REMOLADO, GLORIA B. 107 AGNO ST. BRGY 116 6TH AVE CALOOCAN CITY - - 415.67 415.67 2019-07-30 19-3424 DELA CRUZ, JESSICA B. BLK 69 LOT 13 PH 4 IPIL 2 ST. BRGY BULIHAN SILANG - CAVITE - 2,880.00 2,880.00 2019-07-30 19-3425 IGAT, SHIRLEY D. 181 JB SANTOS ST. BRGY WAWA NAVOTAS CITY 6,942.00 - - 6,942.00 2019-07-30 19-3426 BAYHON, ELBERT D. 12 QUIRINO ST. BRGY 116 TONDO MANILA - - 8,408.37 8,408.37 2019-07-30 19-3427 SECRETARIO, DOMINGA M. 79 NY COMPOUND ST. BRGY BAGBAGUIN VALENZUELA 6,942.00 CITY - - 6,942.00 2019-07-30 19-3428 ANIMOZA, ROSE ANN A. 1848 G. TUAZON ST. BRGY 422 SAMPALOC MANILA 1,195.10 - - 1,195.10 2019-07-30 19-3429 VILLAFUERTE, ARNOLD A. 2013 ALMEDA ST. BRGY 226 TONDO MANILA - - 1,440.40 1,440.40 2019-07-30 19-3430 AUSTERO, ANGELO R. 222 INT 16 LIBIS ESPINA ST. BRGY 18 CALOOCAN CITY - - 1,349.52 1,349.52 2019-07-30 19-3431 MAIQUEZ, KHIEAN DANE F. 1706 VELASQUEZ ST. BRGY 82 TONDO MANILA - - 2,350.00 2,350.00 2019-07-30 19-3432 LAUS, JOHN CARLO M. 661 MARY ANN ST. BRGY 177 TONDO MANILA - - 397.50 397.50 2019-07-30 19-3433 BACALUCOS, JUNNA MAE B. BLDG 33 UNIT 10 TEMPORARY HOUSING ST. BRGY 105 - TONDO MANILA - 1,060.00 1,060.00 2019-07-30 19-3434 CODEREZ, EVANGELINE A. 651 BONIFACIO ST. BRGY PASO DE BLAS VALENZUELA - CITY - 514.27 514.27 2019-07-30 19-3435 REYES, LEONILO -. 922 BOHOL ST. BRGY 561 SAMPALOC MANILA - - 2,095.00 2,095.00 2019-07-31 19-3436 LACAP SR, DOMINADOR T. 29 NORTH ELEMENTARY ST. BRGY 372 STA. CRUZ MANILA - - 1,701.79 1,701.79 2019-07-31 19-3437 LOCABO, ROMEO T. BRGY SAN VICENTE SAN PEDRO LAGUNA - - 2,532.72 2,532.72 2019-07-31 19-3438 RIVERA, ROMMEL V. BRGY 128 TONDO MANILA - - 10,310.19 10,310.19 2019-07-31 19-3439 FONTILAR, PRINCESS DIANE M. BRGY LI-O ROMBLON ROMBLON - - 527.70 527.70 2019-07-31 19-3440 MONTILLA, SARIEL B. LOPE DIVIDA ST. STA. CRUZ MANILA - - 1,171.66 1,171.66 2019-07-31 19-3441 FELICIANO, BENJAMIN D. 31 ROME ST. BRGY LINGUNAN VALENZUELA CITY - 2,359.74 - 2,359.74 2019-07-31 19-3442 ESTRELLA, JERRYSON F. 746 F BENITA ST. BRGY 185 TONDO MANILA - - 530.00 530.00 2019-07-31 19-3443 CABADING, JHAYSEHLL P. 170 PROGRESO ST. BRGY 151 BAGONG BARRIO CALOOCAN - CITY - 1,175.00 1,175.00 2019-07-31 19-3444 TOLENTINO, ROMAR V. 158 MASAYA ST. BRGY ALAULI BATAAN - - 3,832.61 3,832.61 2019-07-31 19-3445 AMPIL, NOVY A. 628 A. BAYLE ST., GAGALANGIN ST. BRGY 177 TONDO - MANILA - 3,188.12 3,188.12 2019-07-31 19-3446 DIONISIO, TERESITA D. 523 DIMASALANG ST. BRGY 26 CALOOCAN CITY - 675.00 - 675.00 2019-07-31 19-3447 REVILLA, MARIETA E. BLOCK 5 LOT 22 LE MOUBREZA SUBDIVISION ST. BRGY - SAN ANTONIO STO. - TOMAS BATANGAS 822.50 822.50 2019-07-31 19-3448 FRIAS, LEONARDA M. 127 ZAPOTE ST ST. BRGY 141 BAGONG BARRIO CALOOCAN 344.50 CITY - - 344.50 2019-07-31 19-3449 TARUC, JOEL S. 74 M. ABLOLA ST. BRGY TANGOS NAVOTAS CITY - 1,200.00 - 1,200.00 2019-07-31 19-3450 VALDERRAMA, MARLYN BLK 8 LOT 17 HERUVIA ST. FRANCIS VILLAGE, 3,324.00SAN BARTOLOME QUEZON - CITY - 3,324.00 2019-07-31 19-3451 MONTESA, CHARMIE M. BRGY DOÑA JUANA SAN AGUSTIN ROMBLON 310.50 - - 310.50 2019-07-31 19-3452 TRESVALLES, GIL E. 189 PUROK 1 CMPD ST. BRGY SAN ISIDRO PARAÑAQUE - CITY - 2,330.56 2,330.56 2019-07-31 19-3453 UGPO, MIEL JOSHADDAI M. BLK. 6 LOT 6 VILLA PANGARAP ST. BRGY TALON 5 LAS - PIÑAS CITY - 19,947.91 19,947.91 2019-07-31 19-3454 TIONGKIAO, LUCY M. 957 TRAMO ST. BRGY E ALDANA LAS PIÑAS CITY 1,666.50 - - 1,666.50 2019-07-31 19-3455 DE GUZMAN, MARDIELYN S. BLK 53 LOT 5 PH 1-C ST. BRGY NBBS KAUNLARAN NAVOTAS - CITY 1,200.00 - 1,200.00 2019-07-31 19-3456 SERASPI, JULITA R. 1364 QUIRICADA ST. BRGY 327 STA. CRUZ MANILA 2,354.30 - - 2,354.30 2019-07-31 19-3457 CANCERAN, LUZVIMINDA E. 109 - INT. 23 J. ZAMORA ST. ST. BRGY 846 PANDACAN - MANILA 1,000.00 - 1,000.00 2019-07-31 19-3458 BEN, PETRONILA G. BRGY 157 TONDO MANILA - - 4,642.24 4,642.24 2019-07-31 19-3459 AMIRELLA, CASSEY-MAY S. BRGY TANYAG CALINTAAN OCCIDENTAL MINDORO - - 16,723.65 16,723.65 2019-07-31 19-3460 OMAÑA, JUVIELYN V. AMUNTAI ST. BRGY ZONE 3 DASMARIÑAS CAVITE - - 4,074.39 4,074.39 2019-07-31 19-3461 ESPEDILLON, EDELVISE C. 151 CORDILLERA RETIRO ST. BRGY MAHARLIKA LA - LOMA QUEZON CITY - 2,669.36 2,669.36 2019-07-31 19-3462 ANDALEON, DAIZYREE G. BRGY A. DALUSAG GEN. EMILIO AGUINALDO CAVITE - CITY - 15,224.01 15,224.01 2019-07-31 19-3463 MUJAR, VLADIMER J. BLK 11 LOT 11 CELINA PLAINS ST. BRGY POOK STA. - ROSA LAGUNA - 10,846.65 10,846.65 2019-07-31 19-3464 SICAPORE, WILFREDO D. BRGY TALON 5 LAS PIÑAS CITY - - 2,160.00 2,160.00 2019-07-31 19-3465 tulod, ma yerre 38 G DE JESUS ST BAGONG BARRIO CALOOCAN CITY 969.00 - - 969.00 2019-07-31 19-3466 CABALLERO, REX B. 1153 ESTIMADA ST. BRGY 8 DAGAT- DAGATAN CALOOCAN - - 10,956.83 10,956.83 2019-07-31 19-3467 VERGARA, JASMIN B. BRGY POBLACION 5 CALACA BATANGAS - - 2,294.92 2,294.92 2019-07-31 19-3468 EUGENIO, JOSE R. BRGY SAN DIONISIO PARAÑAQUE CITY - - 60,533.23 60,533.23 2019-07-31 19-3469 ASTRERA, ROMEO F. BRGY PAMPLONA GENERAL NACAR QUEZON - - 25,358.82 25,358.82 2019-07-31 19-3470 ERESPE, RENZ ERICK M. 1018 H HERMOSA ST. BRGY 200 TONDO MANILA - - 21,997.12 21,997.12

Page 57 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-31 19-3471 REYES, CEZAR P. 18 MABINI ST. BRGY 2 MENDEZ CAVITE - 1,125.00 - 1,125.00 2019-07-31 19-3472 CAMATURA, MA. LAGRIMAS C. 47 GANDHI ST. BRGY BAGONG SILANGAN FILINVEST - QUEZON CITY - 1,222.90 1,222.90 2019-07-31 19-3473 ZUNIGA, LUNINGNING C. BRGY KATAASAN DINALUPIHAN BATAAN - - 14,086.76 14,086.76 2019-07-31 19-3474 CALIMLIM, NATY R. 189 10TH AVE 10TH ST. ST. BRGY 93 GRACE PARK CALOOCAN - - 2,978.95 2,978.95 2019-07-31 19-3475 COLLADO, ADELAIDA P. 1600 INT. 15 J FAJARDO ST. BRGY 429 SAMPALOC MANILA - 250.00 - 250.00 2019-07-31 19-3476 SINOVIO, JOEY T. BLGD25 UNIT212 PERMANENT HOUSING ST. BRGY 128 - TONDO MANILA - 1,370.00 1,370.00 2019-07-31 19-3477 OBNAMIA, PURIFICACION A. 113 PIO VALENZUELA ST. BRGY MARULAS VALENZUELA - - 17,790.74 17,790.74 2019-07-31 19-3478 MAGUIGAD, LIGAYA D. BRGY 361 STA. CRUZ MANILA - - 14,461.00 14,461.00 2019-07-31 19-3479 MACAMAY, JASMIN E. 213 BAGONG ALAY ST. BRGY 275 BINONDO MANILA - - 13,526.08 13,526.08 2019-07-31 19-3480 CABRERA, ROLLY M. 1811 INT. 73 BO. STA. MARIA ST. BRGY 818, ZONE 88 - PACO MANILA - 2,995.57 2,995.57 2019-07-31 19-3481 BOLANIO, ROSA E. BRGY POTRERO MALABON CITY - - 32,165.70 32,165.70 2019-07-31 19-3482 NIÑADA, NENITA Q. 310 13TH PUROK 4 SILVERIO COMPOUND ST. BRGY -SAN ISIDRO PARAÑAQUE - CITY 20,987.81 20,987.81 2019-07-31 19-3483 CLIMACO, JOYCE ANN B. 536 RD 1 ST. BRGY 180 TONDO MANILA - - 20,285.94 20,285.94 2019-07-31 19-3484 AMPIL, NOVY A. 628 A. BAYLE ST., GAGALANGIN ST. BRGY 177 TONDO - MANILA - 3,188.00 3,188.00 2019-07-31 19-3485 VIGO, EDGAR A. INT MALAGUIA ESPIRITU COMP ST. BRGY PANAPAAN - IV BACOOR CAVITE 1,800.00 - 1,800.00 2019-07-31 19-3486 CAMBALISA, AUSTIN JAY S. 1263 TAMBUNTING ST. BRGY NONE STA. CRUZ MANILA - - 397.50 397.50 2019-07-31 19-3487 DELA CRUZ , ROGER H. 826 SEVERINO ST. BRGY 313, ZONE 31 STA. CRUZ 2,778.26 MANILA - - 2,778.26 2019-07-31 19-3488 DEDORO, MIRRA O. 34 CAPT. CANCIO ST. BRGY IBAYO TIPAS TAGUIG CITY - - 66,275.98 66,275.98 2019-07-31 19-3489 MONDEJAR, JELLIA C. 1247 SEVERINO REYES ST. BRGY 328 STA. CRUZ MANILA - - 451.35 451.35 2019-07-31 19-3490 ARAÑA, SARAH B. 982 DONA SALAMANCA ST. BRGY SAN ANTONIO CAVITE - - 10,000.00 10,000.00 2019-07-31 19-3491 PELINIO, ROGELIO T. AREA 7 SITIO LIBJO ST. BRGY STO. NIÑO PARAÑAQUE - CITY 375.00 - 375.00 2019-07-31 19-3492 ABDUL, GEMMA V. 178 NAVAL BALUT ST. BRGY 131 TONDO MANILA - - 21,869.44 21,869.44 2019-07-31 19-3493 ALONZO, ARDANETTE P. 121 KAHUNARI ST. BRGY SAN JOSE NAVOTAS CITY 253.50 - - 253.50 2019-07-31 19-3494 MANGUBAT, MARCELINO D. SITIO SAMPAGUITA ST. BRGY MAPAKLA JALA JALA RIZAL - - 73,545.13 73,545.13 2019-07-31 19-3495 MONTUYA, JOMARI B. 639 ST. BRGY TAAL PULILAN BULACAN - - 16,374.90 16,374.90 2019-07-31 19-3496 MEDIANTE, RUBEN O. 582 H. MONROY ST. BRGY NAVOTAS WEST NAVOTAS - - 14,281.02 14,281.02 2019-07-31 19-3497 SONIDO, GLADYS L. AREA 5 SITIO CABUYAO ST. BRGY SAUYO NOVALICHES - QUEZON CITY - 10,782.74 10,782.74 2019-07-31 19-3498 DALEN, ESMERALDO T. BRGY VILLA APOLONIA NAIC CAVITE - - 2,502.14 2,502.14 2019-07-31 19-3499 MASUJER, RODRIGO B. BLOCK 38 EXCESS LOT ST. BRGY ACACIA SILANG CAVITE - - 35,717.24 35,717.24 2019-07-31 19-3500 ALCANTARA, EVANGELINE C. 110 F. P. BONIFACIO ST. BRGY 77 CALOOCAN - - 4,665.92 4,665.92 2019-07-31 19-3501 NABUTEL, CYNTHIA LUZ A. BRGY ALCALA MARIA AURORA AURORA PROVINCE - - 20,000.00 20,000.00 2019-07-31 19-3502 REYES, ALEXANDER B. BRGY AGUILA SAN JOSE BATANGAS - - 9,253.88 9,253.88 2019-07-31 19-3503 DIAZ, LUISITO C. 878 PACKAGE 9 BLOCK 63 LOT 17 ST. BRGY 176 BAGONG - SILANG CALOOCAN - CITY 3,944.75 3,944.75 2019-07-31 19-3504 LIM-IT, BABYCEL C. BLOCK 26 LOT 6 PHASE 4 CIUDAD NUEVO ST. BRGY SABANG- NAIC CAVITE - 875.00 875.00 2019-07-31 19-3505 ARSENAL, JESSIE A. 29 MALASUGE ST. BRGY 119 TONDO MANILA - - 5,195.11 5,195.11 2019-07-31 19-3506 LIWANAG, JAIME S. 1601 INT. 5, F. VARONA ST. BRGY 80 TONDO MANILA - 1,500.00 - 1,500.00 2019-07-31 19-3507 FELIPE, REYNALDO P. B10, L29, CAMELLA HOMES ST. BRGY BANLIC CABUYAO - LAGUNA - 2,187.84 2,187.84 2019-07-31 19-3508 TAGAPAN, JOSEFA A. BRGY YEBAN NORTE BENITO SOLIVEN ISABELA - - 559.50 559.50 2019-07-31 19-3509 DITALO, RUSSEL L. BRGY SAUYO QUEZON CITY - - 2,775.71 2,775.71 2019-07-31 19-3510 ROSARIO, VILMA T. 164 A. PALON ST. BRGY 75 CALOOCAN CITY - - 2.26 2.26 2019-07-31 19-3511 URQUIA, SYLAS ALEXANDER ZEDDBLK O. 30 LOT 4 CREEK PILOT ST. BRGY COMMONWEALTH - QUEZON CITY - 748.36 748.36 2019-07-31 19-3512 GIME, KENNETH F. 528 QUEZON ST. BRGY SAN ANTONIO SAN PEDRO LAGUNA - - 8,053.61 8,053.61 2019-07-31 19-3513 GUIMONG, ADELAIDA S. 506 LLANO ST. BRGY NONE CALOOCAN - - 27,352.84 27,352.84 2019-07-31 19-3514 AVECILLA, QUEEN DAENERYS D. BRGY MUZON SAN JOSE DEL MONTE MANILA - - 34,569.07 34,569.07 2019-07-31 19-3515 MAJADUCON, DANILO C. GATE 17 PAROLA ST. BRGY NONE TONDO MANILA - - 28,573.58 28,573.58 2019-07-31 19-3516 ESPANILLO, JOHN ENRIQUE D. 1271 ST. BRGY NONE - - 1,590.00 1,590.00 2019-07-31 19-3517 BAGSIC, ERLINDA M. 25 IPIL ST. BRGY GRATER LAGRO NOVALICHES QUEZON - CITY - 12,213.52 12,213.52 2019-07-31 19-3518 NISMAL, ALVIN D. 1261 DOS CASTILLAS ST. BRGY 490 SAMPALOC MANILA - - 183.78 183.78 2019-07-31 19-3519 MAGAAN, DELL R. 850 NICANOR ST. SAMPALOC MANILA - - 1,841.41 1,841.41 2019-07-31 19-3520 TASANI, DENNIS P. 79 JACINTO ST. BRGY MARULAS VALENZUELA CITY - - 7,379.47 7,379.47 2019-07-31 19-3521 ANUAT, KYLE LORENZ C. IBAYO ESTACION ST. BRGY TRAMO NAIC CAVITE - - 3,575.96 3,575.96 2019-07-31 19-3522 HINDAP, EMILY G. BRGY STO. NIÑO IBAAN BATANGAS - - 10,000.00 10,000.00 2019-07-31 19-3523 REYES, RAE MARTIN M. 2104 ALMEDA ST. BRGY 223 TONDO MANILA - - 265.00 265.00 2019-07-31 19-3524 GARRIDO, TITA B. 1119 19 DE JUNIO ST. BRGY 214 TONDO MANILA 276.00 - - 276.00 2019-07-31 19-3525 AGANAN, EDDIE C. 204 C. DE DIOS ST. BRGY 632 STA. MESA MANILA - - 6,565.03 6,565.03 2019-07-31 19-3526 BELLALONA, RECO M. A-9 TERCIAS COMPOUND ST. BRGY KARUHATAN VALENZUELA - CITY - 627.69 627.69 2019-07-31 19-3527 REYES, IVAN RAFAEL M. 2618-C JOSE ABAD SANTOS ST. BRGY 212 TONDO MANILA - - 690.00 690.00 2019-07-31 19-3528 MATAWARAN, JANNEAL M. 519 H. VENTURA ST. BRGY 554 SAMPALOC MANILA - - 1,163.88 1,163.88 2019-07-31 19-3529 PAINAGA, CRIZZA LEWIS P. 1966 JOSE ABAD SANTOS ST. BRGY 226 TONDO MANILA - - 2,275.74 2,275.74 2019-07-31 19-3530 MISUARI, HAINA S. 978 ARLEGUI ST. BRGY 385 QUIAPO MANILA - - 10,060.65 10,060.65 2019-07-31 19-3531 BERNARDO, IRINEO S. 204 BACO ST. BRGY SALVACION QUEZON CITY - - 125.00 125.00

Page 58 AMOUNT OF MEDICAL SERVICES

LABORATORIES, DATE CONTROL NAME OF PATIENTS ADDRESS MEDICINES AND DENTAL & TOTAL ASSISTANCE GRANTED NO. HOSPITAL FEES MED SUPPLIES DIAGNOSTICS PROCEDURES

2019-07-31 19-3532 HICAYEN, BRYLLE P. 100 ST. BRGY BALANGKAS BILOG VALENZUELA CITY - - 534.19 534.19 2019-07-31 19-3533 MALIC, MA. NENEL R. 4017 HE. T DE LEON ST. BRGY NONE VALENZUELA CITY- - 9,047.41 9,047.41 2019-07-31 19-3534 CARNAJE, AIVAN JELLINE A. CHICHARON ST., HAPPY LAND ST. BRGY 105 TONDO - MANILA - 2,028.84 2,028.84 2019-07-31 19-3535 DEMATERA, ADELINA D. 1324 IGNACIA ST. BRGY 649 SILANG CAVITE - - 1,329.87 1,329.87 2019-07-31 19-3536 PURISIMA, DANIELA FAITH P. 24 GORDON ST. BRGY PARAISO DEL MONTE QUEZON - CITY - 530.00 530.00 2019-07-31 19-3537 ILUIS, SALVADOR RUBEN C. 1628 RIZAL AVE. ST. STA. CRUZ MANILA 3,000.00 - - 3,000.00 2019-07-31 19-3538 LUCERO, AL M. STO. ROSARIO PARISH CHURCH, ORTIGAS AVE., EXT - ST. BRGY ROSARIO PASIG - 1,211.54 1,211.54 2019-07-31 19-3539 PABLO, JUAN S. 2593 KALIMBAS ST. BRGY 376 TONDO MANILA - - 4,240.00 4,240.00 2019-07-31 19-3540 LOGO, DAVID RIZAL ST CALAMBA LAGUNA - - 10,000.00 10,000.00 2019-07-31 19-3541 BASEA, ROBERTO YEN ST NORTH FAIRVIEW QUEZON CITY - - 10,000.00 10,000.00 2019-07-31 19-3542 TUANG, RYAN MALIGAYA ST PACITA I CITY SAN PEDRO LAGUNA - - 10,000.00 10,000.00 2019-07-31 19-3543 SANTOS, ROSALINA BRGY TANZA NAVOTAS CITY 590.90 - - 590.90 2019-07-25 19-3544 SALMORIN, ILLA MARIES O. 2493 ZAMORA ST. BRGY 96 PASAY CITY - - 2,184.06 2,184.06 2019-07-26 19-3545 DEL ROSARIO, JEMY G. 1505 M. HIZON ST. BRGY 324 STA. CRUZ MANILA - - 890.79 890.79 2019-07-26 19-3546 DEL ROSARIO, ANGELICA D. BLOCK 47 EXCESS LOT ST. BRGY EPIFANIO MALIA GENERAL - MARIANO ALVAREZ - CAVITE 550.07 550.07 2019-07-26 19-3547 SOLAS, STEPHANIE JEAN F. 1528 ALVAREZ ST. BRGY 327 STA. CRUZ MANILA - - 949.54 949.54 2019-07-26 19-3548 FRANCISCO, ALLAIKO KATE O. 101 SAN JOSE ST. BRGY 34 MAYPAJO CALOOCAN CITY - - 5,325.17 5,325.17 2019-07-26 19-3549 DE GALICIA, MERLY ANN S. 1878 YAKAL ST. BRGY 256 TONDO MANILA - - 447.33 447.33 2019-07-26 19-3550 ALCERA, NENITA M. BLK. 7 LOT 17 RMS VILLE ST. BRGY GENTI DE LEON -UPPER TIBAGAN VALENZUELA - CITY 10,922.99 10,922.99 2019-07-26 19-3551 MUNGCAL, NELIA C. BRGY LAMBAKIN MARILAO BULACAN - - 7,083.45 7,083.45 2019-07-26 19-3552 MARTIN, ZENIA J. PH2 BLK8 LOT46 ST. BRGY MUZON SJDM BULACAN - - 27,426.88 27,426.88 2019-07-28 19-3553 EVANGELISTA, JOANA MARIE S. 1529 FERMIN TUBERA ST. BRGY 254 TONDO MANILA - - 223.61 223.61 2019-07-27 19-3554 DAPOG, NELIA S. 17 MANGGAHAN ST ST. BRGY TUGATOG MALABON CITY- - 3,347.47 3,347.47 2019-07-25 19-3555 TRAJANO, ANDREI G. 101 ASERO ST. BRGY TUGATOG MALABON CITY - - 8,517.36 8,517.36 2019-07-25 19-3556 VILLOTA, JOSEPHINE T. 1536 FELIX HUERTES ST. BRGY 323 STA. CRUZ MANILA - - 2,142.14 2,142.14 2019-07-25 19-3557 VERGEL DE DIOS, IVY Q. 1656 A. RIVERA ST. BRGY 239 TONDO MANILA - - 635.98 635.98 2019-07-25 19-3558 GERMO, LAURICE E. SAMATIERA COMPOUND ST. BRGY ALMANZA UNO LAS- PIÑAS CITY - 2,190.39 2,190.39 2019-07-25 19-3559 Delos Santos, Lolita B. 24 A ANICETA ST. KAINGIN RD ST. BRGY APOLONIO SAMSON- QUEZON CITY - 2,948.68 2,948.68 2019-07-02 19-3560 BAJA, JONALYN FLOR B. UMC ST. BRGY SAN NICOLAS III BACOOR CAVITE - - 375.24 375.24 2019-07-19 19-3561 BUCU, ALEXANDER F. 109 4TH AVE ST. BRGY 49 CALOOCAN CITY - - 530.00 530.00 2019-07-12 19-3562 BARRA, LUZVIMINDA A. 3194 F.ROXAS ST. BRGY MABINI–J.RIZAL MANDALUYONG - CITY - 262.25 262.25 2019-07-30 19-3563 AGUENZA, DELIA PFDA NFPC ST. BRGY NBBS NAVOTAS CITY - 6,000.00 - 6,000.00 2019-07-29 19-3564 QUIRIMIT, HYDEE Z. BRGY 228 TONDO MANILA - - 1,837.91 1,837.91 2019-07-19 19-3565 ORBE, ISRAEL B. 547 ROAD 3 MANOTOC SUBDIVISION, GAGALANGIN 850.50 ST. BRGY 180 TONDO -MANILA - 850.50 2019-07-19 19-3566 MANALO, REYNALDO 710 C3 RD TAGAYTAY ST CALOOCAN CITY 10,000.00 - - 10,000.00 2019-03-28 19-3567 VICMUDO, ENRICO 27 ILANG ILANG ST. BRGY OLD BALARA FERIA RD. QUEZON - CITY 940.00 - 940.00 2019-06-11 19-3568 CARPIO, JOSIEPHINE D. 173 GEN MASCARDO ST. BAGONG BARRIO CALOOCAN - CITY 5,105.00 - 5,105.00 2019-06-27 19-3569 ESQUERRA, ERDIE Q. BRGY APLAYA STA ROSA LAGUNA 769.45 - - 769.45 - - - -

3569 4,746,331.81 2,819,206.94 16,526,689.22 24,092,227.97

PREPARED BY: CERTIFIED CORRECT: Approved by:

Maricel R. Talusan Jayson G. Dela Cruz ,CPA,MPA EMMANUEL F. MONTAÑA, JR, MD, FPCS, FACS, MHA Admin Officer I Financial & Management Officer ll Medical Center Chief ll

Page 59 Page 60 Page 61 Page 62 Page 63 Page 64 Page 65 Page 66 Page 67 Page 68 Page 69 Page 70 Page 71 Page 72 Page 73 Page 74 Page 75 Page 76 Page 77 Page 78 Page 79 Page 80 Page 81 Page 82 Page 83 Page 84 Page 85 Page 86 Page 87 Page 88 Page 89 Page 90 Page 91 Page 92 Page 93 Page 94 Page 95 Page 96 Page 97 Page 98 Page 99 Page 100 Page 101 Page 102 Page 103 Page 104 Page 105 Page 106 Page 107 Page 108 Page 109 Page 110 Page 111 Page 112 Page 113 Page 114 Page 115 Page 116 Page 117 Page 118